Individual provider Active NPI

Oscar A Hernandez Lopez Sr., MD

  • General Practice Physician
  • Camuy, PR
National Provider Identifier
1184680936
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8669 Issued in PR
Practice address
6TH San Juan Street North
Camuy, PR 00627-0542
Phone
(787) 898-2395
Fax
(787) 820-4616
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 8669 PR Primary

Addresses

Primary practice location

6TH San Juan Street North
Camuy, PR 00627-0542

Mailing address

PO Box 542
6TH San Juan Street North
Camuy, PR 00627-0542
Phone (787) 898-2395

Other identifiers 1

IdentifierTypeStateIssuer
8669OtherPRLOCAL LICENSE

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
I20110418000306 PR Practitioner - General Practice 4385828292 Practice locations: Camuy, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Calle San Juan S
Camuy, PR 00627-2651
Phone (787) 898-2395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8669PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar a Hernandez Lopez Past Accepting new patients
Osa Health Service CSP Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184680936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "address_2": "6TH SAN JUAN STREET NORTH",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270542",
            "telephone_number": "787-898-2395",
            "fax_number": "787-820-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH SAN JUAN STREET NORTH",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270542",
            "telephone_number": "787-898-2395",
            "fax_number": "787-820-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ LOPEZ",
        "first_name": "OSCAR",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL LICENSE",
            "identifier": "8669",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.