Katia Larisa Mercado, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14767 Issued in PR

Practice address

HC 1 Box 5123
Canovanas, PR 00729-9744

Phone

(787) 256-7843

Fax

(787) 876-7416

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

No

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

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

Specialty

Family Practice

Education

University of Puerto Rico School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Neomed Center, Inc

  dba NeoMed Center-OPD Gurabo

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334
  Medicare reassignment Care Compare group NPD
• Concilio de Salud Integral de Loiza, Inc.

  • Federally Qualified Health Center (FQHC)
  • Loiza, PR
  • NPI 1558664102

  Family Medicine

  Medicare reassignment NPD
• Neomed Center, Inc

  dba Neomed Center-GU-Laboratory

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1780876631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5123",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299744",
            "telephone_number": "787-256-7843",
            "fax_number": "787-876-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5123",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299744",
            "telephone_number": "787-256-7843",
            "fax_number": "787-876-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "KATIA",
        "middle_name": "LARISA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "14767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medina Medical Transport EMS Corp.
• Zulma Maria Melendez, PHARMACYST
• Javier Isai Mendez Lozada, PSYD
• Josem Omar Mendez Rios
• Joaquin R. Mendez Sr., M.D.
• Sandra Sofia Merino Navarro, M.D.
• Mi Farmacia San Isidro
• Eduardo A Michelen Namnun, M.D.
• Heidy Millan, LMT
• Christian J Miranda Roldan, SW

• Family Medicine Physician in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.