Individual provider Active NPI

Juan Lopez Berrios, M.D.

  • Specialist
  • Rio Piedras, PR
National Provider Identifier
1093848129
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3912 Issued in PR
Practice address
Centro Comercial Los Flamboyanes
Local 9 Ave 65 de Infanteria
Rio Piedras, PR 00923
Phone
(787) 767-8208
Fax
(787) 758-6640
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3912 PR Primary

Addresses

Primary practice location

Centro Comercial Los Flamboyanes
Local 9 Ave 65 de Infanteria
Rio Piedras, PR 00923

Mailing address

PO Box 3314
Carolina, PR 00984-3314
Phone (787) 767-8208

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130516000556 PR Practitioner - Dermatology 1456598119 Practice locations: Rio Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave 65 de Infanteria
Oficina 9
Rio Piedras, PR 00923
Phone (787) 767-8208

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Removal of nail tissue1-10
Skin biopsy22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3912PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1093848129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3314",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843314",
            "telephone_number": "787-767-8208",
            "fax_number": "787-758-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL LOS FLAMBOYANES",
            "address_2": "LOCAL 9 AVE 65 DE INFANTERIA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-8208",
            "fax_number": "787-758-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BERRIOS",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.