Individual provider Active NPI

Vivian Lopez Lorenzo, M.D.

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1235229048
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14897 Issued in PR
Practice address
3081 Ave Militar
Isabela, PR 00662-4079
Phone
(939) 372-3481
NPI assigned
Oct 13, 2006
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14897 PR Primary

Addresses

Primary practice location

3081 Ave Militar
Isabela, PR 00662-4079

Mailing address

HC 5 Box 10763
Moca, PR 00676-9761
Phone (787) 600-6525

Other names 1

  • Dr. Vivian Lopez Lorenzo Former 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
I20120327000269 PR Practitioner - General Practice 1254591480 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14897PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Primaria VA General Practice CurrentSince Sep 28, 2011 Accepting new patients
Centro Medicina Primaria Vega Alta General Practice CurrentSince Sep 28, 2011 Accepting new patients
Asociacion de Medicos de Puerto Rico Ms Inc General Practice CurrentSince Dec 19, 2023 Accepting new patients
Clinica Dr. Hector Tirado CSP General Practice PastSince Oct 29, 2023 Accepting new patients

Locations

B11 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 658-6218

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1235229048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 10763",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769761",
            "telephone_number": "787-600-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624079",
            "telephone_number": "939-372-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ LORENZO",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "LOPEZ LORENZO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.