Individual provider Active NPI

Jose H Lopez Rodriguez, MD

  • Internal Medicine Physician
  • Lajas, PR
National Provider Identifier
1164436895
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6018 Issued in PR
Practice address
Calle 65 Infanteria
No. 23
Lajas, PR 00667-0915
Phone
(787) 899-5140
Fax
(787) 899-5140
NPI assigned
Jul 28, 2006
Last updated
Apr 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6018 PR Primary

Addresses

Primary practice location

Calle 65 Infanteria
No. 23
Lajas, PR 00667-0915

Mailing address

PO Box 915
Lajas, PR 00667-0915
Phone (787) 615-6770

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
I20110301000385 PR Practitioner - Internal Medicine 0648451310 Practice locations: Lajas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6018PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Solidarity Mso LLC Internal Medicine Past Accepting new patients
Lajas Medical LLC Internal Medicine PastSince Feb 17, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1164436895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670915",
            "telephone_number": "787-615-6770",
            "fax_number": "787-899-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 65 INFANTERIA",
            "address_2": "NO. 23",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670915",
            "telephone_number": "787-899-5140",
            "fax_number": "787-899-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

Verify at the official NPI Registry.