Individual provider Active NPI

Angel Enrique Flores Lopez, RRT,PT

  • Physical Therapist
  • Rio Grande, PR
National Provider Identifier
1043313497
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1411 Issued in PR
Practice address
Vistas de Rio Grande 2 Calle Tabonuco
#449
Rio Grande, PR 00745
Phone
(787) 672-0020
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1411 PR Primary
General Care Registered Respiratory Therapist 2279G1100X 1333 PR

Addresses

Primary practice location

Vistas de Rio Grande 2 Calle Tabonuco
#449
Rio Grande, PR 00745

Mailing address

Vistas de Rio Grande 2 Calle Tabonuco
#449
Rio Grande, PR 00745
Phone (787) 672-0020

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

State licenses

LicenseStateTypeSpecialty
1333PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1043313497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VISTAS DE RIO GRANDE 2 CALLE TABONUCO",
            "address_2": "#449",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-672-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISTAS DE RIO GRANDE 2 CALLE TABONUCO",
            "address_2": "#449",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-672-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES LOPEZ",
        "first_name": "ANGEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "RRT,PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1411",
            "primary": true
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "PR",
            "license": "1333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.