Organization Active NPI

United Endocrinology Services

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
National Provider Identifier
1760969109
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
19192 Issued in PR
Legal business name
UNITED ENDOCRINOLOGY SERVICES
Practice address
U3 Carretera 21
Urbanizacion Las Lomas
San Juan, PR 00921
Phone
(787) 518-0478
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Marielly Sierra Mercado, MDNPI 1013258482
Title
President
Phone
(787) 518-0478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 19192 PR Primary

Addresses

Primary practice location

U3 Carretera 21
Urbanizacion Las Lomas
San Juan, PR 00921

Mailing address

PO Box 366791
San Juan, PR 00936-6791
Phone (787) 518-0478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190214002376 PR Part B Supplier - Clinic/Group Practice 0244578300 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

382 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 604-0436

611 Calle Pavia
Ste 112
Santurce, PR 00909
Phone (787) 728-9849

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1760969109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366791",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366791",
            "telephone_number": "787-518-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U3 CARRETERA 21",
            "address_2": "URBANIZACION LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-518-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ENDOCRINOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SIERRA MERCADO",
        "authorized_official_first_name": "MARIELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-518-0478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "19192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.