Organization Active NPI

Mercado Vein Solutions S Corporation

  • Phlebology Physician
  • West Palm Beach, FL
National Provider Identifier
1942906649
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
MERCADO VEIN SOLUTIONS S CORPORATION
Practice address
1501 Presidential Way Ste 21
West Palm Beach, FL 33401-1852
Phone
(561) 227-9237
Fax
(561) 923-8171
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Angel Peter Mercado, PANPI 1669751293
Title
President/Ceo
Phone
(347) 742-7605

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
Phlebology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 202K00000X Primary

Addresses

Primary practice location

1501 Presidential Way Ste 21
West Palm Beach, FL 33401-1852

Mailing address

1501 Presidential Way Ste 21
West Palm Beach, FL 33401-1852
Phone (561) 227-9237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230329002752 FL Part B Supplier - Clinic/Group Practice 2668846809 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

1501 Presidential Way
Ste 21
West Palm Beach, FL 33401
Phone (561) 227-9237

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": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1942906649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY STE 21",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011852",
            "telephone_number": "561-227-9237",
            "fax_number": "561-923-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY STE 21",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011852",
            "telephone_number": "561-227-9237",
            "fax_number": "561-923-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCADO VEIN SOLUTIONS S CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "347-742-7605",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.