Individual provider Active NPI

Jose Javier Lopez Burrezo, M. D.

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1114990611
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12373 Issued in PR
Practice address
277 Calle San Jorge
San Jorge Medical Office BLDG Suite 406
San Juan, PR 00912-3331
Phone
(787) 726-0210
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12373 PR Primary

Addresses

Primary practice location

277 Calle San Jorge
San Jorge Medical Office BLDG Suite 406
San Juan, PR 00912-3331

Mailing address

335 Calle West Rose
Urb. Ciudad Jardin
Carolina, PR 00987-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12373PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PDC Serv PSC Pediatrics Current Accepting new patients
Caribe Physicians Plaza Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcjolopez@yourcarecommunity.org

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114990611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CALLE WEST ROSE",
            "address_2": "URB. CIUDAD JARDIN",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009872222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 CALLE SAN JORGE",
            "address_2": "SAN JORGE MEDICAL OFFICE BLDG SUITE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123331",
            "telephone_number": "787-726-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BURREZO",
        "first_name": "JOSE",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.