Individual provider Active NPI

Jorge L Lopez-Rodriguez, MD

  • Anesthesiology Physician
  • Santurce, PR
National Provider Identifier
1235181017
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11397 Issued in PR
Practice address
Calle H Podnomo
Esq Las Palmas
Santurce, PR 00908
Phone
(787) 721-8330
Fax
(787) 722-2292
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11397 PR Primary

Addresses

Primary practice location

Calle H Podnomo
Esq Las Palmas
Santurce, PR 00908

Mailing address

Urb Pacifica PG 43
Trujillo Alto, PR 00976-6150
Phone (787) 722-2251

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
I20051207000442 PR Practitioner - Anesthesiology 5496776387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University Central del Caribe Escuela de Medicina, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medical Services PSCGroup PAC ID 3476833401, 18 clinicians
GRH Anesthesia Group, PSCGroup PAC ID 9234179029, 10 clinicians

Practice addresses (Care Compare)

Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone 78785433221191

Cond Torre Auxilio Mutuo
735 Ave Ponce de Leon Ofic 704
San Juan, PR 00917-5029

Cont Torre Auxilio Mutuo Ofc
704 735 Ave Ponce de Leon
San Juan, PR 00917-5029

PO Box
Suite 30532
Manati, PR 00674-8513

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC CurrentSince Jul 28, 2018 Accepting new patients
GRH Anesthesia Group, PSC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Hospitalist Medical Services, PSC Anesthesiology CurrentSince Jul 28, 2018 Accepting new patients
Erh Medical Services LLC Anesthesiology Past Accepting new patients
Eye Surgery Specialists of Puerto Rico, LLC Past Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

735 Ave Ponce de Leon
Ste 704
San Juan, PR 00917
Phone (787) 379-6786

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1235181017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PACIFICA PG 43",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766150",
            "telephone_number": "787-722-2251",
            "fax_number": "787-722-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE H PODNOMO",
            "address_2": "ESQ LAS PALMAS",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00908",
            "telephone_number": "787-721-8330",
            "fax_number": "787-722-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "11397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.