Individual provider Active NPI

Veronica Trias Lopez, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1114673795
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022814 Issued in PR
Practice address
Urb Versalles U29 Calle 17
Bayamon, PR 00959-2136
Phone
(787) 616-6101
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022814 PR Primary

Addresses

Primary practice location

Urb Versalles U29 Calle 17
Bayamon, PR 00959-2136

Mailing address

Urb Versalles U29 Calle 17
Bayamon, PR 00959-2136
Phone (787) 616-6101

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
I20230105002335 PR Practitioner - General Practice 1355711417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediko Medicina Primaria CorpGroup PAC ID 5991172843, 5 clinicians

Practice addresses (Care Compare)

Del Rio Shopping Ctr
1 Urb Valle Tolima
Caguas, PR 00726-8729
Phone (787) 653-5550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022814PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mediko Medicina Primaria Corp CurrentSince Sep 16, 2022 Accepting new patients

Organizations & group practices 1

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1114673795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VERSALLES U29 CALLE 17",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009592136",
            "telephone_number": "787-616-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VERSALLES U29 CALLE 17",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009592136",
            "telephone_number": "787-616-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIAS LOPEZ",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.