Active NPI
Sergio Lopez
- Land Ambulance
- Ponce, PR
National Provider Identifier
1235432386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 4761CP
- Practice address
- Cond Tabaiba GDNS
Ave Hungria # 276
Ponce, PR 00716-1384 - Phone
- (787) 842-6682
- NPI assigned
- Dec 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 4761CP | PR | Primary |
Addresses
Primary practice location
Cond Tabaiba GDNS
Ave Hungria # 276
Ponce, PR 00716-1384
Mailing address
5220 Calle Lorencita Ferrer
El Tuque
Ponce, PR 00728-4832
Phone (787) 219-9207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4761CP | PR | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sergio Lopez Soba | Land Transport | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1235432386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 CALLE LORENCITA FERRER",
"address_2": "EL TUQUE",
"city": "PONCE",
"state": "PR",
"postal_code": "007284832",
"telephone_number": "787-219-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND TABAIBA GDNS",
"address_2": "AVE HUNGRIA # 276",
"city": "PONCE",
"state": "PR",
"postal_code": "007161384",
"telephone_number": "787-842-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SERGIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-13",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PR",
"license": "4761CP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.