Gloria M Mercado Jimenez

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

893 Issued in PR

Practice address

Carr. #2 KM 96.8
Bo. Cocos
Quebradillas, PR 00678

Phone

(787) 895-6216

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Gloria M Mercado Jimenez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Farmacia Gloriana Inc

  • Community/Retail Pharmacy
  • Quebradillas, PR
  • NPI 1548327992
  NPD
• Farmacia Gloriana Inc.

  • Pharmacy
  • Quebradillas, PR
  • NPI 1235437054
  NPD
• Laboratorio Clinico Las Mercedes Inc

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1710283411
  NPD

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1760634984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC02 BOX 9879",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 KM 96.8",
            "address_2": "BO. COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO JIMENEZ",
        "first_name": "GLORIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "893",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "09-F-0674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "MERCADO JIMENEZ",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerardo A Mejias, M.D.
• Arleen Melendez, NL
• Edgar Mendez, DDS
• Samuel Hiram Mendez
• Suheily Mendez, MASTERS CLINICAL SW
• Catherine Mercado
• Gilmarie Mercado
• Yadira Mercado
• Miramar OB-GYN Service PSC
• Lizvette Mojica I, MD

• All providers in Quebradillas, PR
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.