Active NPI
Carlos A Lopez, D.M.D
- Dental Clinic/Center
- San Juan, PR
National Provider Identifier
1245365295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 1895
- Practice address
- 215 Calle Tous Soto
Urb. Baldrich
San Juan, PR 00918-4312 - Phone
- (787) 444-7910
- NPI assigned
- Feb 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1895 | PR | |
| Dental Clinic/Center | 261QD0000X | 1895 | PR | Primary |
Addresses
Primary practice location
215 Calle Tous Soto
Urb. Baldrich
San Juan, PR 00918-4312
Mailing address
215 Calle Tous Soto
Urb Baldrich
San Juan, PR 00918-4312
Phone (787) 444-7910
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N689 | Other | PR | DENTIST |
| 7290033 | Other | PR | DENTIST |
| 041451 | Other | PR | DENTIST |
| 206104 | Other | PR | DENTIST |
| 41707 | Other | PR | DENTIST |
Other names 1
- Dr. Carlos A Lopez
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 |
|---|---|---|---|
| 1895 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245365295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 CALLE TOUS SOTO",
"address_2": "URB BALDRICH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184312",
"telephone_number": "787-444-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CALLE TOUS SOTO",
"address_2": "URB. BALDRICH",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184312",
"telephone_number": "787-444-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1895",
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PR",
"license": "1895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "N689",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "7290033",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "041451",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "206104",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "41707",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLOS",
"last_name": "LOPEZ",
"middle_name": "A",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.