Individual provider Active NPI

Iris Paloma Lopez Rivera, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1104438829
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21897 Issued in PR
Practice address
210 Calle Arizmendi
Rio Piedras, PR 00925-3411
Phone
(787) 754-7133
Fax
(787) 771-9131
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 21897 PR Primary

Addresses

Primary practice location

210 Calle Arizmendi
Rio Piedras, PR 00925-3411

Mailing address

PO Box 29568 65 Infantry Station
San Juan, PR 00929

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dra.irispalomalopezrivera@gmail.com Direct

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
I20201015002278 PR Practitioner - General Practice 3072933837 Practice locations: Rio Piedras, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21897PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico Familiar Y Medicina Integral Y Complementaria de Rio Pie PastSince Aug 30, 2020 Accepting new patients
Cemfamic Single Specialty PastSince Aug 30, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1104438829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29568 65 INFANTRY STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CALLE ARIZMENDI",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009253411",
            "telephone_number": "787-754-7133",
            "fax_number": "787-771-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RIVERA",
        "first_name": "IRIS",
        "middle_name": "PALOMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "21897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dra.irispalomalopezrivera@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Calle Arizmendi",
            "city": "Rio Piedras",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009253411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.