Active NPI
Jose A. Mercado Montalvo, MD
- Pulmonary Disease Physician
- Carolina, PR
National Provider Identifier
1912915463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 11996
- Practice address
- Ave. Campo Rico Calle 2 Bloq 1
Sabana Gardens
Carolina, PR 00983 - Phone
- (787) 276-5272
- Fax
- (787) 276-5302
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 11996 | PR | Primary |
Addresses
Primary practice location
Ave. Campo Rico Calle 2 Bloq 1
Sabana Gardens
Carolina, PR 00983
Mailing address
16Street J17 Ciudad Universitaria
Trujillo Alto, PR 00976
Phone (787) 761-6403
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110712000588 | PR | Practitioner - Pulmonary Disease | 2466620794 | Practice locations: San Juan, PR; Rio Piedras, PR; Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Puerto Rico School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 -1 Ave Campo Rico
Carolina, PR 00985
Phone (787) 276-5272
Hospital & facility affiliations
- Auxilio Mutuo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4728 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ges de San Juan, Inc. | Past | Accepting new patients | |
| Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Special Hospital
- Rio Piedras, PR
- NPI 1225017916
-
- Preferred Provider Organization
- San Juan, PR
- NPI 1669508156
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1912915463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16STREET J17 CIUDAD UNIVERSITARIA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-761-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. CAMPO RICO CALLE 2 BLOQ 1",
"address_2": "SABANA GARDENS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-276-5272",
"fax_number": "787-276-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO MONTALVO",
"first_name": "JOSE",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PR",
"license": "11996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.