Active NPI
Juan Carlos Lopez de Victoria-Rivera, MD
- Surgery Physician
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 016783
- Practice address
- Ave Luis Munoz Rivera a-1 #402
Centro de Cirugia Ambulatoria Hima/San Pablo Caguas
Caguas, PR 00725-4980 - Phone
- (787) 372-4022
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD429473 | PA | |
| Surgery Physician | 208600000X | 016783 | PR | Primary |
| Surgery Physician | 208600000X | 036-113950 | IL |
Addresses
Primary practice location
Ave Luis Munoz Rivera a-1 #402
Centro de Cirugia Ambulatoria Hima/San Pablo Caguas
Caguas, PR 00725-4980
Mailing address
PO Box 4960
PMB #381
Caguas, PR 00726-4960
Phone (787) 372-4022
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University Central del Caribe Escuela de Medicina, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bo Monacillos
Centro Medico de Puerto Rico
Rio Piedras, PR 00935
Phone (787) 754-0101
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 28 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16783 | PR | MD | Clinical Social Worker |
| 036-113950 | IL | MD | Surgery Physician |
| 016783 | PR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Surgery | Current | Accepting new patients |
| Departamento de Salud Oficial | Past | Accepting new patients | |
| Centro Medico del Turabo Inc | Surgery | Past | Accepting new patients |
Locations
BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440
BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149
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.
-
dba Recinto de Ciencias Medicas-(Cirugia General-RCM)
- Surgery Physician
- San Juan, PR
- NPI 1992737217
-
- Clinic/Center
- Caguas, PR
- NPI 1932427630
-
dba Cirugia Colorrectal RCM
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
dba Grupo Quirurgico Avanzado
- Neurological Surgery Physician
- Caguas, PR
- NPI 1689728875
-
- General Acute Care Hospital
- Rio Piedras, PR
- NPI 1407859036
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- San Juan, PR
- NPI 1003366527
-
dba Ashford Presbyterian Community Hospital
- General Acute Care Hospital
- San Juan, PR
- NPI 1770580813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1235240235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4960",
"address_2": "PMB #381",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007264960",
"telephone_number": "787-372-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LUIS MUNOZ RIVERA A-1 #402",
"address_2": "CENTRO DE CIRUGIA AMBULATORIA HIMA/SAN PABLO CAGUAS",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007254980",
"telephone_number": "787-372-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ DE VICTORIA-RIVERA",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD429473",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "016783",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-113950",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.