Gemma Miranda Mercado, M.D.

Key facts

NPI

1992844583

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

A95009 (CA)

Practice address

388 Ypao Rd
Tamuning, GU 96913-3701

Phone

(671) 646-8881

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

Other names

• Dr. Gemma G. Miranda-Mercado Professional name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 20, 2008.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1992844583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "NAVAL HOSPITAL GUAM",
            "address_2": "PSC 490, BOX 9024",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96538",
            "telephone_number": "671-471-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701",
            "telephone_number": "671-646-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "GEMMA",
        "middle_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMMA",
            "last_name": "MIRANDA-MERCADO",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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All providers in Tamuning, GU · Family Medicine Physician in Guam