LUIS CARLOS MORON MERCADO


Address: 374 Stockholm St, Brooklyn, NY 11237-4006
Phone: 7189637272

LUIS CARLOS MORON MERCADO (NPI# 1083225890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083225890
Entity Type Individual
Full Name LUIS CARLOS MORON MERCADO
Credential MD
Practice Address 374 Stockholm St
Brooklyn
NY 11237-4006
Mailing Address 12360 83rd Ave Apt 8k
Kew Gardens
NY 11415-3409
Practice Telephone 7189637272
Mailing Telephone 7542265802
Enumeration Date 2020-08-14
Last Update Date 2020-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice P105265 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 374 STOCKHOLM ST
City BROOKLYN
State NY
Zip Code 11237-4006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700886322 Wyckoff Heights Medical Center General Acute Care Hospital 374 Stockholm St, Brooklyn, NY 11237-4006 2005-07-26
1285233189 Camille I Del Pilar Rodriguez General Practice 374 Stockholm St, Brooklyn, NY 11237-4006 2020-10-21
1972110096 Wyckoff Heights Medical Center Laboratory Services Clinical Medical Laboratory 374 Stockholm St, Brooklyn, NY 11237-4006 2020-09-24
1134734130 Andre Cosmo Ruela General Practice 374 Stockholm St, Brooklyn, NY 11237-4006 2020-09-15
1134732233 Fehintola Orisamolu Nurse Practitioner 374 Stockholm St, Brooklyn, NY 11237-4006 2020-08-28
1548871189 Leonidha Duka Student in an Organized Health Care Education/Training Program 374 Stockholm St, Brooklyn, NY 11237-4006 2020-08-16
1891305207 Oyinem Odumah Student in an Organized Health Care Education/Training Program 374 Stockholm St, Brooklyn, NY 11237-4006 2020-08-01
1609491646 Bilyana Ristic Dietitian, Registered 374 Stockholm St, Brooklyn, NY 11237-4006 2020-06-16
1881219061 Victoria Lewis Student in an Organized Health Care Education/Training Program 374 Stockholm St, Brooklyn, NY 11237-4006 2020-06-12
1477178812 Michael Kho Student in an Organized Health Care Education/Training Program 374 Stockholm St, Brooklyn, NY 11237-4006 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194379644 Giovanna Fiorella Ramirez Barbieri Obstetrics & Gynecology 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 2019-08-01
1013575554 Miseon Kang Counselor Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 2019-05-30
1023598943 Kathryn Falk Speech-Language Pathologist Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 2018-08-20
1437648870 Dawn Tya Chapin Student in an Organized Health Care Education/Training Program Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 2018-05-01
1518410471 Cameron Hetzler Dentist 374 Stockholm St., Brooklyn, NY 11237 2016-07-27
1215399043 Rose R Capuz Skilled Nursing Facility 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 2016-03-22
1245695030 Wyckoff Heights Dental Services, PC Clinic/Center Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 2015-12-21
1245615442 Estefany Sanchez Mendez Pediatrics 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 2015-07-29
1033507231 Macarena Rufin Counselor 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 2014-12-23
1740691021 Wyckoff Anesthesia and Medical Services, PC Clinic/Center 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 2014-05-08
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962976274 Kings County House Calls Np In Family Health Pllc General Practice 3709 Flatlands Ave, Brooklyn, NY 11234-3507 2019-01-20
1306392840 David Zisha Kinraich General Practice 4910 15th Ave Apt 4l, Brooklyn, NY 11219-3236 2016-08-25
1255705075 Nyc Brook Medical LLC General Practice 183 Wilson St Ste 205, Brooklyn, NY 11211-7578 2015-11-17
1811366099 M S Elisabeth Fanini-lemoine Colon General Practice 107 Hart St, Apt.3, Brooklyn, NY 11206-6814 2015-09-17
1407232119 Andral Mathieu St. Fleur General Practice 1023 E 58th St Fl 1, Brooklyn, NY 11234-2517 2015-08-04
1427431568 Harold Matos Casano General Practice 374 Stockholm St Fl 4, Brooklyn, NY 11237-4006 2015-07-07
1467860148 Jerome Cantor General Practice 258 82nd St, Brooklyn, NY 11209-3811 2014-07-25
1225458623 Lily Xu General Practice 757 60th St Fl 1, Brooklyn, NY 11220-4209 2014-04-24
1477974301 Michel Medical General Practice 567 Midwood St, Brooklyn, NY 11203-1110 2013-12-19
1699103200 Theodor Stanley Kaufman General Practice 272 Clinton St, Brooklyn, NY 11201-6145 2013-10-16
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Competitor

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City BROOKLYN
Zip Code 11237

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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