Kennice M Lopez-Irizarry, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15487 Issued in PR

Practice address

2003 Ave Borinquen
San Juan, PR 00915-3814

Phone

(787) 268-4171

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • San Juan, PR
  • NPI 1316167661

  General Practice

  Medicare reassignment NPD
• HPM Foundation Inc

  • Pharmacy
  • San Juan, PR
  • NPI 1881821874
  NPD
• Prymed Medical Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Vega Baja, PR
  • NPI 1811451883
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1043260813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 53099",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009536502",
            "telephone_number": "787-200-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153814",
            "telephone_number": "787-268-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-IRIZARRY",
        "first_name": "KENNICE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel A Lopez-Diaz, MD
• Alberto T Lopez-Enriquez, MD,FACP
• Josefina M. Lopez-Garcia, M.D.
• Francisco Manuel Lopez-Gonzalez, M.D.
• Vicente Lopez-Hidalgo, MD
• Julio Cesar Lopez-Maldonado, MD
• Agustin Lopez-Marrero, MD
• Nayda T Lopez-Morales, M.D.
• Karolyne Li Lopez-Otero, PHARMD
• Jose Carlos Lopez-Puebla

• Family Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.