Individual provider Active NPI

Claudia Mansito-Lopez, MD

  • General Practice Physician
  • Vega Alta, PR
National Provider Identifier
1134643133
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
019741 Issued in PR
Practice address
1306 El Dorado CLB
Vega Alta, PR 00692-8838
Phone
(786) 930-8212
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 019741 PR Primary

Addresses

Primary practice location

1306 El Dorado CLB
Vega Alta, PR 00692-8838

Mailing address

PO Box 506
Dorado, PR 00646-0506
Phone (786) 930-8212

Other practice location 1

8800 SW 54 TRR, Miami FL
Miami, FL 33165
Phone (786) 930-8212

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
I20180117002317 PR Practitioner - General Practice 7911266085 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Corporate Office Park Edif Asg
Ave Martinez Nadal Suite 305
Guaynabo, PR 00966
Phone (787) 914-3231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019741PRMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134643133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460506",
            "telephone_number": "786-930-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 EL DORADO CLB",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006928838",
            "telephone_number": "786-930-8212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 SW 54 TRR, Miami FL",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33165",
            "country_code": "US",
            "telephone_number": "786-930-8212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSITO-LOPEZ",
        "first_name": "CLAUDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.