Individual provider Active NPI

Ryan Lopez Concepcion, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1245084383
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
024716 Issued in PR
Practice address
PO Box 4055
Aguadilla, PR 00605-4055
Phone
(787) 658-0200
NPI assigned
Apr 15, 2024
Last updated
Dec 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2025

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 024716 PR Primary

Addresses

Primary practice location

PO Box 4055
Aguadilla, PR 00605-4055

Mailing address

HC 3 Box 33708
Aguada, PR 00602-9743
Phone (939) 349-9867

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
I20260115003111 PR Practitioner - General Practice 9436636826 Reassigns benefits to 2 organizations
Practice locations: Aguada, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

28 Calle Munoz Rivera W
Rincon, PR 00677-2127
Phone 7878235500179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024716PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aguada Medical Center, Inc. CurrentSince Dec 17, 2025 Accepting new patients
Costa Salud Community Health Centers Inc CurrentSince Jan 13, 2026 Accepting new patients
Aguada Medical Center Inc. CurrentSince Dec 17, 2025 Accepting new patients
Costa Salud Community Health Centers, Inc CurrentSince Jan 13, 2026 Accepting new patients
Aguada Medical Center Care Club PastSince Dec 17, 2025 Accepting new patients

Locations

28 Calle Munoz Rivera W
Rincon, PR 00677
Phone (787) 823-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAGCDD

Organizations & group practices 7

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1245084383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 33708",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029743",
            "telephone_number": "939-349-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4055",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055",
            "telephone_number": "787-658-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ CONCEPCION",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.