Jose Antonio Mercado Sr.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

72826-G Issued in PR

Practice address

Plaza del Mar Carr 107 KM 2.3
Bo Borinquen
Aguadilla, PR 00603

Phone

(787) 641-9133

NPI assigned

Dec 3, 2018

Last updated

Dec 3, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1750851739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB UNIVERSITY GARDEN",
            "address_2": "CALLE BAMBU 4 D 16",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-602-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL MAR CARR 107 KM 2.3",
            "address_2": "BO BORINQUEN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-641-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "72826-G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mente Renovada Centro de Intervencion Clinica Social
• Sarahi Mercado Grafals, MSPT
• Jamaarl Mercado Rivera
• Genesis Yeideliz Mercado
• Jose A Mercado, DMD
• Nelson A Mercado, DMD
• Metrohealth Radiation Oncology Group, Inc. (Radiation Therapy and Cancer Institute)
• Meyo Inc.
• Mi Optica Vision Care
• Rosa Luz Michel, MD

• Registered Nurse in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.