Individual provider Active NPI

Myrna L Lopez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Arecibo, PR
National Provider Identifier
1194814640
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
10548 Issued in PR
Practice address
65 Ave Barbosa
Arecibo Medical Plaza, Suite 102
Arecibo, PR 00612-2799
Phone
(787) 879-4811
Fax
(787) 879-4811
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 10548 PR Primary

Addresses

Primary practice location

65 Ave Barbosa
Arecibo Medical Plaza, Suite 102
Arecibo, PR 00612-2799

Mailing address

PO Box 143554
Arecibo, PR 00614-3554
Phone (787) 879-4811

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
I20101129000955 PR Practitioner - Endocrinology 1557557857 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 Ave Barbosa
Arecibo Medical Plaza Suite 102
Arecibo, PR 00612-2799

65 Ave Barbosa
Suite 102
Arecibo, PR 00612-2746
Phone (787) 879-4811

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194814640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143554",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006143554",
            "telephone_number": "787-879-4811",
            "fax_number": "787-879-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 AVE BARBOSA",
            "address_2": "ARECIBO MEDICAL PLAZA, SUITE 102",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006122799",
            "telephone_number": "787-879-4811",
            "fax_number": "787-879-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MYRNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "10548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.