Pablo M Lopez-Baez, MD
Individual provider Active NPI Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Bayamon, PR
NPI 1104987437 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104987437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- License
- 5064 (PR)
- Practice address
- Santa Rosa Mall
202A
Bayamon, PR 00959 - Phone
- (787) 798-2141
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Santa Rosa Mall
Suite 202a
Bayamon, PR 00959
Suite a
Suite 202
Bayamon, PR 00959
Phone (787) 798-2141
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070129000064 | PR | Practitioner - Otolaryngology | 8022019413 | Practice locations: Bayamon, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5064 | PR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 5064 | PR | Yes |
Addresses
Primary practice location
Santa Rosa Mall
202A
Bayamon, PR 00959
Mailing address
Santa Rosa Mall
202A
Bayamon, PR 00959
Phone (787) 798-2141
Other providers in Bayamon, PR
- Damaris Lopez Rios
- Awilda Lopez Rivera
- Zoraida Lopez Rivera
- Jarinet Lopez Torres
- Stephanie Marie Lopez Torres
- Hector Luis Lopez-Huertas
- Madeleine M Lopez-Jimenez
- Yolanda Lopez-Lopez
- Ricardo Andres Lopez-Martinez
- Daris J Lopez-Montanez
All providers in Bayamon, PR · Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.