Maria del Mar Mercado, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3072 Issued in PR

Practice address

St. 111 Ave. Los Patriotas KM 33.2
Ziema Professional Plaza Suite #7
Lares, PR 00669

Phone

(787) 236-4867

Fax

(787) 236-4867

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1760776520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEOS DE LA REINA CALLE CALEZA T-18",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-236-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. 111 AVE. LOS PATRIOTAS KM 33.2",
            "address_2": "ZIEMA PROFESSIONAL PLAZA SUITE #7",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-236-4867",
            "fax_number": "787-236-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MARIA DEL MAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar H Medina Quinones, MD
• Idamaris Mejias
• Jonathan Mendez Colon
• Alexandra Ivette Mendez Llado, STUDENT
• Dalila Mendez Padin, DRA
• Grecia Noelia Mirabal
• Elizabeth Miranda Rios
• Almarys Molina Ruiz, OTR/L
• Karla Michelle Morales Alvarez, MSW
• Carlos Alberto Morales Jr., M.D

• Dentist in Lares, PR
• Providers in Lares, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.