Deric Alejandro Lopez, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

19986 Issued in PR

Practice address

Carretera # 2 KM 47.7
Manati, PR 00674

Phone

(787) 854-3322

NPI assigned

Aug 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialty

Geriatric MedicineAlso: Family Practice

Education

University Central del Caribe Escuela de Medicina, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
• Professional Hospital Guaynabo Inc Hospital, Guaynabo, PR, CCN 400122
• Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: deric.lopezrodriguez@3787.securemail.prognocis.com

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.

• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  NPD (past)
• Grupo Geriatrico del Norte PFC

  • Geriatric Medicine (Family Medicine) Physician
  • Dorado, PR
  • NPI 1134826506
  NPD (past)
• Professional Hospital Guaynabo Inc

  • General Acute Care Hospital
  • Guaynabo, PR
  • NPI 1922254952
  NPD (past)

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

• Corporacion Las Vegas, LLC

  • Home Health Agency
  • Manati, PR
  • NPI 1659364248
  Care Compare affiliation
• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  Care Compare affiliation
• Professional Hospital Guaynabo Inc

  • General Acute Care Hospital
  • Guaynabo, PR
  • NPI 1922254952
  Care Compare affiliation

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1043644412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30532",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006748513",
            "telephone_number": "787-854-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA # 2 KM 47.7",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carretera 2 interseccion 668",
            "address_2": "Urbanization Athenas",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-621-3700 x1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DERIC",
        "middle_name": "ALEJANDRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "19986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosario del Mar Loperena Alvarez
• Luis Antonio Lopez Galarza, M.D
• Luis Antonio Lopez Perez, MD
• Jose Enrique Lopez Sekulits, PA
• Micael Lopez-Acevedo, M.D.
• Felix A Lopez, M.D.
• Gloryvee Lopez
• Jannette Lopez, O.T.
• Leslie Ann Lopez, PT
• Lorenzo Dermatology LLC

• Geriatric Medicine (Family Medicine) Physician in Manati, PR
• Providers in Manati, PR by specialty
• Geriatric Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.