Active NPI
Carmen A. Lopez, M.D.
- Specialist
- San Juan, PR
National Provider Identifier
1215092028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7842
- Practice address
- Carr. 21S-3 Num.-2 Las Lomas
San Juan, PR 00921 - Phone
- (787) 781-5077
- Fax
- (787) 781-5077
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7842 | PR | Primary |
Addresses
Primary practice location
Carr. 21S-3 Num.-2 Las Lomas
San Juan, PR 00921
Mailing address
1763 Calle Horas
San Juan, PR 00926-4837
Phone (787) 781-5440
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100819001224 | PR | Practitioner - Internal Medicine | 0749314177 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1215092028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1763 CALLE HORAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264837",
"telephone_number": "787-781-5440",
"fax_number": "787-781-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 21S-3 NUM.-2 LAS LOMAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-781-5077",
"fax_number": "787-781-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CARMEN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "7842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.