Individual provider Active NPI

Barbara Julia Lopez, MD

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1255949244
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22978 Issued in PR
Practice address
Edif. Centerplex
Carr #2 KM 133.5 Suite 307
Aguada, PR 00602
Phone
(787) 658-0200
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22978 PR Primary

Addresses

Primary practice location

Edif. Centerplex
Carr #2 KM 133.5 Suite 307
Aguada, PR 00602

Mailing address

6 Estancias de Cidra
Cidra, PR 00739
Phone (787) 252-4600

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
I20221109002590 PR Practitioner - General Practice 2466829320 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22978PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Gineco-Obstetrico del Oeste Inc. CurrentSince Oct 3, 2022 Accepting new patients
Costa Salud Community Health Centers, Inc. CurrentSince Mar 11, 2023 Accepting new patients
Costa Salud Community Health Centers, Inc CurrentSince Mar 11, 2023 Accepting new patients

Locations

28 Calle Munoz Rivera W
Rincon, PR 00677
Phone (787) 823-5500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1255949244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESTANCIAS DE CIDRA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-252-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF. CENTERPLEX",
            "address_2": "CARR #2 KM 133.5 SUITE 307",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-658-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIA LOPEZ",
        "first_name": "BARBARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.