Alfredo D Lopez, CPOA-0094

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPOA-0094 Issued in DE

Practice address

4X20 Ave Carlos Javier Andaluz Ste 4
Bayamon, PR 00956-2984

Phone

(787) 998-8939

Fax

(787) 998-8944

NPI assigned

Nov 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1073338604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4X20 AVE CARLOS JAVIER ANDALUZ STE 4",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562984",
            "telephone_number": "787-998-8939",
            "fax_number": "787-998-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4X20 AVE CARLOS JAVIER ANDALUZ STE 4",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562984",
            "telephone_number": "787-998-8939",
            "fax_number": "787-998-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALFREDO",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CPOA-0094",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "DE",
            "license": "CPOA-0094",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPOA-0094",
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "DE",
            "license": "CPOA-0094",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "DE",
            "license": "CPOA-0094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Andres Lopez-Martinez, M.D.,F.A.C.S.
• Daris J Lopez-Montanez, RPH
• Jaime Pedro Lopez-Reverol, M.D.
• Adalberto Lopez
• Alexandra Maria Lopez
• Auday Lopez, M.D.
• Edwin Lopez I, M.D.
• Elizabeth Lopez, MSW
• Glenda L Figueroa Lopez, PHARMACY TECHNICIANS
• Jancy L Lopez

• Prosthetic/Orthotic Supplier in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Prosthetic/Orthotic Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.