Individual provider Active NPI

Andres Francisco Gonzalez Lopez, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1093388381
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24092 Issued in PR
Practice address
Ave Laurel, Santa Juanita
Hospital Universitario Ramon Ruiz Arnau
Bayamon, PR 00956-3273
Phone
(787) 787-5151
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 24092 PR Primary

Addresses

Primary practice location

Ave Laurel, Santa Juanita
Hospital Universitario Ramon Ruiz Arnau
Bayamon, PR 00956-3273

Mailing address

PO Box 60327
Bayamon, PR 00960-6032

Other practice location 1

Ave. Laurel, Santa Juanita
Bayamon, PR 00960-9574
Phone (787) 798-3001

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24092PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1093388381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60327",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LAUREL, SANTA JUANITA",
            "address_2": "HOSPITAL UNIVERSITARIO RAMON RUIZ ARNAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563273",
            "telephone_number": "787-787-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave. Laurel, Santa Juanita",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009609574",
            "country_code": "US",
            "telephone_number": "787-798-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ LOPEZ",
        "first_name": "ANDRES",
        "middle_name": "FRANCISCO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

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