Edwin Bannacek Lopez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19831 Issued in PR

Practice address

Calle Francisco G Bruno #48 Oeste Esquina San Antonio
Guayama, PR 00784-0078

Phone

(787) 409-6657

Fax

(787) 409-6657

NPI assigned

Jan 29, 2018

Last updated

Dec 27, 2022By the provider in NPPES

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

General Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicio la Paz Inc Hospice, Arecibo, PR, CCN 401527

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  General Practice

  Medicare reassignment NPD
• Find U Health

  • General Practice Physician
  • Guayama, PR
  • NPI 1265038996
  Medicare reassignment NPD
• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  General Practice

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospicio la Paz Inc

  • Community Based Hospice Care Agency
  • Arecibo, PR
  • NPI 1609868645
  Care Compare affiliation

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1164920807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850013",
            "telephone_number": "787-409-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FRANCISCO G BRUNO #48 OESTE ESQUINA SAN ANTONIO",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007840078",
            "telephone_number": "787-409-6657",
            "fax_number": "787-409-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EDWIN",
        "middle_name": "BANNACEK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteban Linares Martin, MD
• Enrique Alberto Llorens, DMD
• Jorge J Lopez del Pozo, MD
• Pedro M Lopez Lopez
• Jenniffer Lopez Suarez
• Cristina Elizabeth Lorenzo Puesan, M.D.
• Lilliam D Lugo Carmona, MD
• Luis A Lugo Medina, M.D.
• Luis A. Lugo Rivera, M.D.
• Ruben Lugo Zambrana, MD

• General Practice Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.