Individual provider Active NPI

Jose A Lopez Torres, MD

  • General Practice Physician
  • Guayanilla, PR
National Provider Identifier
1013175850
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17148 Issued in PR
Practice address
2 Calle Anasco
Guayanilla, PR 00656-1743
Phone
(787) 835-4756
Fax
(787) 835-4756
NPI assigned
May 29, 2008
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17148 PR Primary

Addresses

Primary practice location

2 Calle Anasco
Guayanilla, PR 00656-1743

Mailing address

PO Box 560239
Guayanilla, PR 00656-0239
Phone (787) 340-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000249 PR Practitioner - General Practice 5799850699 Practice locations: Guayanilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Calle Anasco
Guayanilla, PR 00656-1743
Phone (787) 504-3207

Calle Anasco
Suite 2
Guayanilla, PR 00656-1743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Life Quality Medical Group & Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1013175850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560239",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560239",
            "telephone_number": "787-340-5030",
            "fax_number": "787-835-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE ANASCO",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561743",
            "telephone_number": "787-835-4756",
            "fax_number": "787-835-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ TORRES",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

Verify at the official NPI Registry.