Individual provider Active NPI

Carlos L Lopez Asencio, MD

  • Family Medicine Physician
  • Yauco, PR
National Provider Identifier
1114930625
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12639 Issued in PR
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

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Yauco, PR, CCN 400110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue24
Removal or shaving of skin growth1-10

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.

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

Verify at the official NPI Registry.