Individual provider Active NPI

Harry Mercado, M.D

  • Family Medicine Physician
  • Carolina, PR
National Provider Identifier
1932186798
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
06906 Issued in PR
Practice address
Plaza Carolina Mall,
Third Level, Office #10
Carolina, PR 00983
Phone
(787) 750-2620
Fax
(787) 750-7730
NPI assigned
Dec 22, 2005
Last updated
May 31, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 06906 PR Primary

Addresses

Primary practice location

Plaza Carolina Mall,
Third Level, Office #10
Carolina, PR 00983

Mailing address

51 King's Court
Apt 3-a
San Juan, PR 00911-1174
Phone (787) 750-2620

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000299 PR Practitioner - Family Practice 2769635408 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Plaza Carolina Mall 3Rd Level Offic
Fragoso Avenue
Carolina, PR 00983-9460
Phone (787) 750-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6909PRMDPharmacist
06906PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1932186798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 KING'S COURT",
            "address_2": "APT 3-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111174",
            "telephone_number": "787-750-2620",
            "fax_number": "787-750-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA CAROLINA MALL,",
            "address_2": "THIRD LEVEL, OFFICE #10",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-750-2620",
            "fax_number": "787-750-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "06906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.