Active NPI
Lucelix Pilar Lopez, RPT
- Physical Therapist
- Caguas, PR
National Provider Identifier
1144888033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1061
- Practice address
- 30 Calle Padial Ste 240
Plaza Gatsby
Caguas, PR 00725-3841 - Phone
- (787) 961-3636
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1061 | PR | Primary |
Addresses
Primary practice location
30 Calle Padial Ste 240
Plaza Gatsby
Caguas, PR 00725-3841
Mailing address
4 Calle Cielo Mar
Urb Paraiso de Gurabo
Gurabo, PR 00778-3739
Phone (787) 961-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038843300 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210302002955 | PR | Practitioner - Physical Therapist in Private Practice | 1759797574 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1144888033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CALLE CIELO MAR",
"address_2": "URB PARAISO DE GURABO",
"city": "GURABO",
"state": "PR",
"postal_code": "007783739",
"telephone_number": "787-961-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CALLE PADIAL STE 240",
"address_2": "PLAZA GATSBY",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007253841",
"telephone_number": "787-961-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LUCELIX",
"middle_name": "PILAR",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038843300",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.