Individual provider Active NPI

Vionette D Lopez, M.D.

  • General Practice Physician
  • Camuy, PR
National Provider Identifier
1013995018
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15691 Issued in PR
Practice address
Carr. #2 KM 95.0
HC 03 Box 10839
Camuy, PR 00627-9600
Phone
(787) 262-8080
Fax
(787) 262-8080
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 15691 PR Primary

Addresses

Primary practice location

Carr. #2 KM 95.0
HC 03 Box 10839
Camuy, PR 00627-9600

Mailing address

HC 03 Box 10839
Camuy, PR 00627-9716
Phone (787) 262-1239

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
I20060307000012 PR Practitioner - General Practice 8022024694 Practice locations: Camuy, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10839 HC
Suite 3
Camuy, PR 00627-9600
Phone (787) 262-8080

HC 03 Box
Suite 10839
Camuy, PR 00627-9600

Hospital & facility affiliations

  • Hospicio En El Hogar Fe Y Esperanza de Puerto Rico Hospice, Manati, PR, CCN 401504
  • Hospicio la Paz Inc Hospice, Arecibo, PR, CCN 401527

National Provider Directory

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1013995018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 03 BOX 10839",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279716",
            "telephone_number": "787-262-1239",
            "fax_number": "787-262-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 KM 95.0",
            "address_2": "HC 03 BOX 10839",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279600",
            "telephone_number": "787-262-8080",
            "fax_number": "787-262-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "VIONETTE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.