Individual provider Active NPI

Jorge Lopez, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1144309600
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14939 Issued in PR
Practice address
Ave. Luis Munoz Marin
X-14 Mariolga
Caguas, PR 00725
Phone
(787) 743-2067
Fax
(787) 743-2067
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 14939 PR Primary

Addresses

Primary practice location

Ave. Luis Munoz Marin
X-14 Mariolga
Caguas, PR 00725

Mailing address

E20 Calle Tabonuco
Arbolada
Caguas, PR 00727-1306
Phone (939) 397-2065

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
I20031105000711 PR Practitioner - General Practice 2860304938 Reassigns benefits to 3 organizations
Practice locations: Caguas, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Health Group LLC CurrentSince Nov 1, 2025 Accepting new patients
MM Health Services, LLC. CurrentSince Oct 20, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 1, 2008 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Sep 1, 2008 Accepting new patients
Servicios de Medicina Integrada P.S.C. Past Accepting new patients
Dla Imaging LLC PastSince Sep 17, 2023 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 7

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144309600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E20 CALLE TABONUCO",
            "address_2": "ARBOLADA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271306",
            "telephone_number": "939-397-2065",
            "fax_number": "787-743-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LUIS MUNOZ MARIN",
            "address_2": "X-14 MARIOLGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-2067",
            "fax_number": "787-743-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.