Individual provider Active NPI

Jose E Marin Lopez, MD

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1184615668
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12256 Issued in PR
Practice address
1431 Ave Ponce de Leon
Ste 302
San Juan, PR 00907-4026
Phone
(787) 977-4810
Fax
(787) 977-4813
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12256 PR Primary

Addresses

Primary practice location

1431 Ave Ponce de Leon
Ste 302
San Juan, PR 00907-4026

Mailing address

1431 Ave Ponce de Leon Ste 302
San Juan, PR 00907-4033
Phone (787) 977-4810

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
I20060926000427 PR Practitioner - General Surgery 0840295853 Reassigns benefits to 1 organization
Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Bo Monacillos Centro Medico de Puert
Rio Piedras, PR 00935

Hospital Oncologico
Centro Medico
San Juan, PR 00935-0001
Phone 78775825251522

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
  • Hospital Oncologico Dr Isaac Gonzalez Martinez Hospital, San Juan, PR, CCN 400012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)15
Mastectomy21
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12237PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients

Locations

Centro Medico
San Juan, PR 00935
Phone (787) 560-2098

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1184615668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 AVE PONCE DE LEON STE 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074033",
            "telephone_number": "787-977-4810",
            "fax_number": "787-977-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 AVE PONCE DE LEON",
            "address_2": "STE 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074026",
            "telephone_number": "787-977-4810",
            "fax_number": "787-977-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN LOPEZ",
        "first_name": "JOSE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "12256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.