Individual provider Active NPI

Neysa Mercado Morales, M. D.

  • Primary Care Clinic/Center
  • Caguas, PR
National Provider Identifier
1750640447
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
18807 Issued in PR
Practice address
Ave Gautier Benitez
Consolidated Mall
Caguas, PR 00726
Phone
(787) 746-2600
NPI assigned
May 15, 2012
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 18807 PR Primary

Addresses

Primary practice location

Ave Gautier Benitez
Consolidated Mall
Caguas, PR 00726

Mailing address

Ave Gautier Benitez
C8
Caguas, PR 00726
Phone (787) 746-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507002172 PR Practitioner - General Practice 4688916968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18807PRMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Community Health System Current Accepting new patients
Integrate Community Health System CurrentSince Mar 3, 2019 Accepting new patients
Integrate Community Health System, Inc. CurrentSince Mar 3, 2019 Accepting new patients
Integrate Community Health System Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1750640447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE GAUTIER BENITEZ",
            "address_2": "C8",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-746-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MALL",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-746-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO MORALES",
        "first_name": "NEYSA",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "18807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.