Raul Edgardo Lopez, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

9990 Issued in PR

Practice address

Urb Huyke
204 Calle Union
San Juan, PR 00918-0091

Phone

(787) 772-4783

Fax

(787) 789-7484

NPI assigned

Jun 25, 2007

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

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Servicios Psicologicos Vive, PSC.

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1962796599
  NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1164628319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 123",
            "address_2": "405 AVE. ESMERALDA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694457",
            "telephone_number": "787-772-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB HUYKE",
            "address_2": "204 CALLE UNION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180091",
            "telephone_number": "787-772-4783",
            "fax_number": "787-789-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Calle Hector Salaman",
            "address_2": "Urb. Ext. Roosevelt",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009182112",
            "country_code": "US",
            "telephone_number": "787-772-4783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAUL",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "PR",
            "license": "9990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Lopez
• Neslie Lopez
• Nilsa Lopez, PSYD
• Noelia Lopez
• Ramon J Lopez, M.D.
• Raysa Darlyne Lopez
• Reynold E Lopez, MD
• Rodolfo Lopez, PSY.D
• Rolinda Lopez, RN BSN
• Rosa Maria Lopez, M.D.

• Forensic Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Forensic Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.