Individual provider Active NPI

Ariana G Lopez Garcia

  • Urology Physician
  • San Juan, PR
National Provider Identifier
1255861613
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
22398 Issued in PR
Practice address
Centro Medico de Puerto Rico
San Juan, PR 00935-0001
Phone
(787) 458-1983
NPI assigned
Jun 18, 2017
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 22398 PR Primary

Addresses

Primary practice location

Centro Medico de Puerto Rico
San Juan, PR 00935-0001

Mailing address

PO Box 1000
Mayaguez, PR 00681-1000
Phone (787) 458-1983

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
I20230831003688 PR Practitioner - Urology 5496118838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Urology Group LLCGroup PAC ID 7012230519, 14 clinicians

Practice addresses (Care Compare)

103 Calle de Diego E
Mayaguez, PR 00680-4863
Phone (787) 652-4205

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22398PRMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Urology Group LLC Urology CurrentSince Sep 1, 2023 Accepting new patients
Recinto de Ciencias Medicas Urology CurrentSince Jan 23, 2024 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jan 23, 2024 Accepting new patients
Centro de Cancer de la Universidad Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

103 Calle de Diego E
Mayaguez, PR 00680
Phone (787) 652-4205

BO Monacillos
San Juan, PR 00935

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

Interoperability endpoints

  • Direct secure messaging: ariana.lopezgarcia@4191.securemail.prognocis.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1255861613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811000",
            "telephone_number": "787-458-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-458-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GARCIA",
        "first_name": "ARIANA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "22398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.