Individual provider Active NPI

Jose R Lopez de Victoria, M.D.

  • Surgery Physician
  • Bayamon, PR
National Provider Identifier
1255446944
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7237 Issued in PR
Practice address
100 Paseo San Pablo
Dr. Arturo Cadilla Building Suite 205
Bayamon, PR 00961-7019
Phone
(787) 786-5151
Fax
(787) 786-5153
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7237 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo
Dr. Arturo Cadilla Building Suite 205
Bayamon, PR 00961-7019

Mailing address

PO Box 1048
Bayamon, PR 00960-1048
Phone (787) 786-5151

Other identifiers 1

IdentifierTypeStateIssuer
98950OtherPRTRIPLE S PROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1255446944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601048",
            "telephone_number": "787-786-5151",
            "fax_number": "787-786-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "DR. ARTURO CADILLA BUILDING SUITE 205",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-786-5151",
            "fax_number": "787-786-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DE VICTORIA",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "7237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROVIDER NUMBER",
            "identifier": "98950",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.