Nieves Lopez Primary MD PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NIEVES LOPEZ PRIMARY MD PSC

Practice address

69 Calle Pedro Santos Suite 3
Moca, PR 00676

Phone

(787) 877-0244

Fax

(787) 551-7344

NPI assigned

Jul 5, 2019

Last updated

Jul 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Noel Nieves Lopez, MDNPI 1760584460

Title

Dr

Phone

(787) 877-0244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noel Nieves Lopez, MD

  • General Practice Physician
  • Moca, PR
  • NPI 1760584460
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1003478546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760192",
            "telephone_number": "787-877-0244",
            "fax_number": "787-551-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CALLE PEDRO SANTOS SUITE 3",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-0244",
            "fax_number": "787-551-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEVES LOPEZ PRIMARY MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "NIEVES LOPEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "787-877-0244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navarro Medical & Aesthetics LLC
• Kiara Marie Nieves Cortes
• Stephanie Nieves Ferrer, PHARM.D.
• Millianetsie Nieves Gonzalez, PH.D.
• Gilmarie Nieves Lassalle
• Nieves Lopez PSC
• Noel Nieves Lopez, MD
• Carlos Miguel Nieves Mendez, DMD
• Abnel Nieves
• Blanca Nieves

• General Practice Physician in Moca, PR
• Providers in Moca, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.