Active NPI
Carlos L Lopez Asencio, MD
- Family Medicine Physician
- Yauco, PR
National Provider Identifier
1114930625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12639
- Practice address
- Bo Diego Hernan Dez Carr 128 KM 3 3
Yauco, PR 00698 - Phone
- (787) 856-3037
- Fax
- (787) 856-3261
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12639 | PR | Primary |
Addresses
Primary practice location
Bo Diego Hernan Dez Carr 128 KM 3 3
Yauco, PR 00698
Mailing address
PO Box 561840
Guayanilla, PR 00656-4280
Phone (787) 856-3037
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120402000547 | PR | Practitioner - Family Practice | 3870753650 | Practice locations: Yauco, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Bo Diego Hernandez
Carr 128 KM 3.3
Yauco, PR 00698
Phone (787) 856-3037
Hospital & facility affiliations
- Hospital Pavia Yauco
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 24 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric/Mental Health Registered Nurse
- Ponce, PR
- NPI 1386281053
Hospital
-
- General Acute Care Hospital
- Yauco, PR
- NPI 1760475388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1114930625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561840",
"city": "GUAYANILLA",
"state": "PR",
"postal_code": "006564280",
"telephone_number": "787-856-3037",
"fax_number": "787-856-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO DIEGO HERNAN DEZ CARR 128 KM 3 3",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-856-3037",
"fax_number": "787-856-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ ASENCIO",
"first_name": "CARLOS",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "12639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.