Jose Miguelangel Lopez Moa, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16897 Issued in PR

Practice address

1831 Ave Las Americas
Ponce, PR 00728-1816

Phone

(787) 243-8081

NPI assigned

Oct 31, 2007

Sex

Male

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

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.

• Antonsanti Physicians Group

  • General Practice Physician
  • Ponce, PR
  • NPI 1639520992
  Medicare reassignment NPD

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1063691616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 BLVD LUIS A FERRE",
            "address_2": "URB. SAN ANTONIO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281816",
            "telephone_number": "787-243-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 AVE LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281816",
            "telephone_number": "787-243-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MOA",
        "first_name": "JOSE",
        "middle_name": "MIGUELANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Manuel Lopez Gonzalez, MD, MHA
• Robert Lopez Gonzalez
• Jeimmy Lopez Hernandez
• Carlos Jacob Lopez Maldonado
• Eric Lopez Martino, M.D.
• Raul Miguel Lopez Pineiro
• Alejandra Lopez Ramos
• Alma Rosa Lopez Rivera, PSYD
• Teodoro Lopez Rivera, D.M.D., MSCD.
• Yadira Lopez Rivera

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.