Rafael Eduardo Lopez, DC
Individual provider Active NPI Chiropractor · Rincon, PR
NPI 1194538413 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1194538413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1014 (PR)
- Practice address
- Carr 115 KM 8.7
Local 4
Rincon, PR 00677 - Phone
- (787) 456-6444
- NPI assigned
- Jan 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Immanis Dignus LLC
Practice addresses (Care Compare)
Carr 115 KM
7 Local 4
Rincon, PR 00677
Phone (787) 456-6444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260114002112 | PR | Practitioner - Chiropractic | 8022594548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immanis Dignus LLC | Chiropractor | Current |
Accepting new patients |
| Bsimetriq | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1014 | PR | Yes |
Addresses
Primary practice location
Carr 115 KM 8.7
Local 4
Rincon, PR 00677
Mailing address
PO Box 1567
Mayaguez, PR 00681-1567
Phone (787) 487-7474
Other providers in Rincon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.