Individual provider Active NPI

Benigno Lopez, MD

  • Orthopaedic Surgery Physician
  • Caguas, PR
National Provider Identifier
1215017819
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4588 Issued in PR
Practice address
Edif. Hima San Pablo Cirugia Ambulatoria
Calle Munoz Rivera Num. 1 Final Ofic. 203
Caguas, PR 00726
Phone
(787) 744-4654
Fax
(787) 743-4959
NPI assigned
Oct 17, 2006
Sex
Male
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
Orthopaedic Surgery Physician 207X00000X 4588 PR Primary

Addresses

Primary practice location

Edif. Hima San Pablo Cirugia Ambulatoria
Calle Munoz Rivera Num. 1 Final Ofic. 203
Caguas, PR 00726

Mailing address

PO Box 760
Caguas, PR 00726
Phone (787) 744-4654

Other identifiers 5

IdentifierTypeStateIssuer
602075OtherPRMEDICARE Y MUCHO MAS
61101OtherPR61101
7250070OtherPRHUMANA
066990OtherPRCRUZ AZUL
26519LOOtherPRTRIPLE-S

Other names 1

  • Benigno Lopez Professional name

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
I20140501001113 PR Practitioner - Orthopedic Surgery 3072746866 Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4588PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lovizca Past Accepting new patients
Instituto Ortopedico Caguas Orthopaedic Surgery 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215017819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-744-4654",
            "fax_number": "787-743-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF. HIMA SAN PABLO CIRUGIA AMBULATORIA",
            "address_2": "CALLE MUNOZ RIVERA NUM. 1 FINAL OFIC. 203",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-744-4654",
            "fax_number": "787-743-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BENIGNO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "4588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "602075",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "61101",
            "identifier": "61101",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7250070",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "066990",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "26519LO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENIGNO",
            "last_name": "LOPEZ",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.