Individual provider Active NPI

Shirley Perez-Lopez, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Caguas, PR
National Provider Identifier
1093909996
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
16866 Issued in PR
Practice address
X2 Ave Luis Munoz Marin
Urb Mariolga
Caguas, PR 00725
Phone
(787) 746-4610
NPI assigned
Sep 4, 2007
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 16866 PR Primary
General Practice Physician 208D00000X 16866 PR

Addresses

Primary practice location

X2 Ave Luis Munoz Marin
Urb Mariolga
Caguas, PR 00725

Mailing address

342 Camino de Las Trinitarias
Urb Veredas
Gurabo, PR 00778-9687
Phone (787) 505-0648

Other identifiers 1

IdentifierTypeStateIssuer
002-8163OtherPRPTAN

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
I20080701000129 PR Practitioner - Family PracticePractitioner - Geriatric Medicine 0840362299 Reassigns benefits to 1 organization
Practice locations: Caguas, PR; Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Puerto Rico School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

6 Carr
31 KM
Juncos, PR 00777-3871
Phone (787) 737-2311

PO Box
Suite 1277
Gurabo, PR 00778-1277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Apr 12, 2016 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc CurrentSince Apr 12, 2016 Accepting new patients
Perez Palmer de Jesus Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1093909996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 CAMINO DE LAS TRINITARIAS",
            "address_2": "URB VEREDAS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789687",
            "telephone_number": "787-505-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "X2 AVE LUIS MUNOZ MARIN",
            "address_2": "URB MARIOLGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-746-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-LOPEZ",
        "first_name": "SHIRLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "16866",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "002-8163",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.