Diana Loperena Lopez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1635 Issued in PR

Practice address

Ortiz Medical Plaza
Corozal, PR 00783

Phone

(787) 859-4829

Fax

(787) 859-4781

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Estudio Dental Otero Loperena LLC

  • General Practice Dentistry
  • Vega Alta, PR
  • NPI 1972144301
  Medicare reassignment NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1194736348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926064",
            "telephone_number": "787-859-4829",
            "fax_number": "787-859-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ORTIZ MEDICAL PLAZA",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-859-4829",
            "fax_number": "787-859-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPERENA LOPEZ",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1635",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Rodriguez,Inc.
• Lauren Lau Angarita, MD
• Joswelyn Laureano, PHARMACY TECHNICIAN
• LGS Ambulance LLC
• LJP, LLC
• Omarys Nicole Lopez Martinez
• Angeles Casas Lopez, MD
• Mario Maldonado Ramirez, MD
• Hector Javier Maldonado
• Hector L. Maldonado, M.D.

• General Practice Dentistry in Corozal, PR
• Providers in Corozal, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.