Active NPI
Madelyn Lopez, MD
- Psychiatry Physician
- San Juan, PR
National Provider Identifier
1013945401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12264
- Practice address
- 431 Ave Hostos
Urb. El Vedado
San Juan, PR 00918-3014 - Phone
- (787) 753-9515
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12264 | PR | Primary |
Addresses
Primary practice location
431 Ave Hostos
Urb. El Vedado
San Juan, PR 00918-3014
Mailing address
PO Box 20000
Suite 270
Canovanas, PR 00729-0042
Phone (787) 564-5384
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013945401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20000",
"address_2": "SUITE 270",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007290042",
"telephone_number": "787-564-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 AVE HOSTOS",
"address_2": "URB. EL VEDADO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183014",
"telephone_number": "787-753-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MADELYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "12264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.