Active NPI
Gemma Miranda Mercado, M.D.
- Family Medicine Physician
- Tamuning, GU
National Provider Identifier
1992844583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A95009
- Practice address
- 388 Ypao Rd
Tamuning, GU 96913-3701 - Phone
- (671) 646-8881
- NPI assigned
- Feb 6, 2007
- Last updated
- Apr 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A95009 | CA | Primary |
Addresses
Primary practice location
388 Ypao Rd
Tamuning, GU 96913-3701
Mailing address
Naval Hospital Guam
PSC 490, Box 9024
Fpo, AP 96538
Phone (671) 471-6025
Other names 1
- Dr. Gemma G. Miranda-Mercado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95009 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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"
}
]
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.