Individual provider Active NPI

Pedro Lopez

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1245796978
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23-820 Issued in PR
Practice address
1043 Calle Antillas
Hacienda San Jose
Caguas, PR 00727
Phone
(787) 502-3243
NPI assigned
Feb 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 23-820 PR Primary

Addresses

Primary practice location

1043 Calle Antillas
Hacienda San Jose
Caguas, PR 00727

Mailing address

1043 Calle Antillas
Hacienda San Jose
Caguas, PR 00727

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
I20240923002993 PR Practitioner - Internal Medicine 8527502491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23-820PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita Caguas Inc CurrentSince Dec 28, 2024 Accepting new patients
Nieves Internal Medicine Health Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Hospital Menonita Caguas Inc Single Specialty CurrentSince Dec 28, 2024 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1245796978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 CALLE ANTILLAS",
            "address_2": "HACIENDA SAN JOSE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 CALLE ANTILLAS",
            "address_2": "HACIENDA SAN JOSE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-502-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PEDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "23-820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.