Andre Mercado, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 23618 Issued in FL

Practice address

10794 Pines Blvd
Pembroke Pines, FL 33026-3920

Phone

(954) 447-2423

NPI assigned

Jul 26, 2013

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

Other identifiers 1

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1821430190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 SW 34TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124341",
            "telephone_number": "305-335-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-447-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 23618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL ORTHOPAEDIC CARE",
            "identifier": "650557162",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mental Health Institute of Florida LLC
• Mental Health Services Corp
• Mental Health Services Corp (Southwell Home Health Agency)
• Mentalia Corp.
• Odaris N Mercado Chevere
• Priscilla Mercado, MSN
• Nubjai Merchan
• Romane Merilien, APRN
• Joelle Meristal, CRTT
• Adis Mesa Hernandez

• Physical Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.