Carmen Lopez, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9791 Issued in PR

Practice address

L1 Calle 4
Villas de Rio Grande
Rio Grande, PR 00745-0000

Phone

(787) 888-7336

Fax

(787) 887-4045

NPI assigned

Nov 29, 2005

Last updated

Aug 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Rio Grande Medical Group

  • Corporate Health Clinic/Center
  • Rio Grande, PR
  • NPI 1376868380
  NPD (past) Authorized official
• Rio Grande Medical Group

  • Primary Care Clinic/Center
  • Rio Grande, PR
  • NPI 1992135776
  Authorized official Same address or phone
• Saint Just Medical

  • Corporate Health Clinic/Center
  • Trujillo Alto, PR
  • NPI 1639494644
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1255314746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L1 CALLE 4 VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450000",
            "telephone_number": "787-888-7336",
            "fax_number": "787-887-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L1 CALLE 4",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450000",
            "telephone_number": "787-888-7336",
            "fax_number": "787-887-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Lopez Colon
• Adriana Lopez Guzman, PA
• Valeria Michelle Lopez Olmo, MS
• Deborah Lopez Ruiz
• Manuel E. Lopez-Reyes, M.D.
• Pamela Anastacia Lugo Correia, TECHNICIAN
• Leopoldo R Luna, DDS
• Sandra D Maldonado-Rosario, M.D.
• Beatriz Maldonado, OTL
• Vilmania G. Mambru Tavarez, PSY D

• General Practice Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.