Carlos Enrique Lopez Rivera, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22131 Issued in PR

Practice address

160 Mendez Vigo E
Mayaguez, PR 00680-5048

Phone

(787) 831-6199

Fax

(787) 831-6199

NPI assigned

Dec 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1134715345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CALLE MENDEZ VIGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805048",
            "telephone_number": "787-831-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MENDEZ VIGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805048",
            "telephone_number": "787-831-6199",
            "fax_number": "787-831-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RIVERA",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-12",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Llorens Perez, MD
• Noelys Marie Lopez Ayala, 73868
• Jackeline Lopez Lorenzo, SLP
• Melanie Lopez Mercado, LND, RDN
• Arturo J Lopez Rivera, M.D.
• Claudia Maria Lopez Robles, MD
• David Agustin Lopez Rodriguez
• Maritza Lopez Rodriguez, OD
• Natalie Lopez Lopez Rodriguez, MD
• Maria de Lourdes Lopez-Alers, PH.D

• General Practice Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.