Individual provider Active NPI

Juan Carlos Lopez de Victoria-Rivera, MD

  • Surgery Physician
  • Caguas, PR
National Provider Identifier
1235240235
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
016783 Issued in PR
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080122000462 PR Practitioner - General Surgery 2769487537 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

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
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)28
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16783PRMDClinical Social Worker
036-113950ILMDSurgery Physician
016783PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Dec 1, 2012 Accepting new patients
Recinto de Ciencias Medicas Surgery CurrentSince Dec 1, 2012 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.

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": "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

Verify at the official NPI Registry.