Marlane Rodriguez-Lopez, MD
Individual provider Active NPI General Practice Physician · Are, PR
NPI 1043049703 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1043049703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 24064 (PR)
- Practice address
- Carretera 129, KM 1.0 Av. San Luis
Are, PR 00613 - Phone
- (787) 650-7272
- NPI assigned
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241120002144 | PR | Practitioner - General Practice | 1850826322 |
Reassigns benefits to 2 organizations Practice locations: Arecibo, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camuy Health Services, Inc. | General Practice | Current |
Accepting new patients |
| Villa Los Santos Clinic, LLC | Current |
Accepting new patients | |
| Villa Los Santos Clinic, LLC | General Practice | Current |
Accepting new patients |
| Camuy Health Services, Inc. | Current |
Accepting new patients |
Locations
V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144
63 Ave Munoz Rivera E
Camuy, PR 00627
Phone (787) 262-6603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24064 | PR | Yes |
Addresses
Primary practice location
Carretera 129, KM 1.0 Av. San Luis
Are, PR 00613
Mailing address
223 Calle Urogallo
Arecibo, PR 00612-9685
Phone (262) 309-4308
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.