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1689515249 NPI number — AMELIA CARMELA MERCADO RT(R)

NPI Number: 1689515249
Health Care Provider/Practitioner: AMELIA CARMELA MERCADO RT(R)

Information about “1689515249” NPI (AMELIA CARMELA MERCADO RT(R)) exists in 1689515249 in HTML format HTML  |  1689515249 in plain Text format TXT  |  1689515249 in PDF (Portable Document Format) PDF  |  1689515249 in an XML format XML  formats.

NPI Number : 1689515249 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689515249",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERCADO",
    "FirstName": "AMELIA",
    "MiddleName": "CARMELA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RT(R)",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2321 S FRIENDSHIP DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARVEY",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70058-1311",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-205-6686",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2400 CANAL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW ORLEANS",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70119-6535",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-935-8387",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2026",
    "LastUpdateDate": "04/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "1061935",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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