Individual provider Active NPI

Xavier Lopez Garib, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1023502820
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23276 Issued in PR
Practice address
120 Ave. Carlos Chardon
#002
San Juan, PR 00918
Phone
(787) 773-5049
NPI assigned
Jun 15, 2018
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23276 PR Primary

Addresses

Primary practice location

120 Ave. Carlos Chardon
#002
San Juan, PR 00918

Mailing address

120 Ave. Carlos Chardon
#002
San Juan, PR 00918

Other practice location 1

Centro Medico de Puerto Rico
Asem
San Juan, PR 00928
Phone (787) 777-3535

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
I20260228000060 PR Practitioner - Diagnostic Radiology 6709316268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

PO Box
Suite 372800
Cayey, PR 00737-2800

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23276PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Hospital Menonita Caguas Inc Single Specialty CurrentSince Jan 12, 2026 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jan 12, 2026 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1023502820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AVE. CARLOS CHARDON",
            "address_2": "#002",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AVE. CARLOS CHARDON",
            "address_2": "#002",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-773-5049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Centro Medico de Puerto Rico",
            "address_2": "ASEM",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00928",
            "country_code": "US",
            "telephone_number": "787-777-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ GARIB",
        "first_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "23276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.