Individual provider Active NPI

Karla Coral Morales Lopez

  • General Practice Physician
  • Vega Alta, PR
National Provider Identifier
1144737255
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19812 Issued in PR
Practice address
11 Jaime Acosta St
Vega Alta, PR 00692
Phone
(787) 883-3739
Fax
(787) 883-3827
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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 19812 PR Primary

Addresses

Primary practice location

11 Jaime Acosta St
Vega Alta, PR 00692

Mailing address

PO Box 488
Vega Alta, PR 00692-0488
Phone (787) 883-3739

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
I20180403000094 PR Practitioner - General Practice 3274895214 Reassigns benefits to 1 organization
Practice locations: Vega Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Ponce School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Las Americas Guaynabo, IncGroup PAC ID 3476504077, 49 clinicians

Practice addresses (Care Compare)

1 Ave Casa Linda
Bayamon, PR 00959-9000
Phone (787) 789-1996

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19812PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc CurrentSince Feb 28, 2022 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Feb 28, 2022 Accepting new patients

Locations

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

1 Ave Casa Linda
Bayamon, PR 00959

Interoperability endpoints

  • Direct secure messaging: karla.moraleslopez@4263.securemail.prognocis.com
  • Direct secure messaging: karla.moraleslopez@4048.securemail.prognocis.com

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1144737255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920488",
            "telephone_number": "787-883-3739",
            "fax_number": "787-883-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JAIME ACOSTA ST",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-3739",
            "fax_number": "787-883-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES LOPEZ",
        "first_name": "KARLA",
        "middle_name": "CORAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.