Individual provider Active NPI

Agustin J Lopez-Covas, M.D.

  • Internal Medicine Physician
  • Humacao, PR
National Provider Identifier
1265492201
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10627 Issued in PR
Practice address
334 Calle Font Martelo
Humacao, PR 00791-3229
Phone
(787) 852-0886
Fax
(787) 852-0280
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10627 PR Primary

Addresses

Primary practice location

334 Calle Font Martelo
Humacao, PR 00791-3229

Mailing address

PO Box 428
Humacao, PR 00792-0428
Phone (787) 852-0886

Other identifiers 1

IdentifierTypeStateIssuer
10627OtherPRSTATE LICENCE

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
I20060201000688 PR Practitioner - Internal Medicine 3577577220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

334 Calle Font Martelo
Humacao, PR 00791-3229
Phone (787) 852-0886

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Especialista de Medicina del Este C S P CurrentSince Mar 4, 2010 Accepting new patients

Locations

334 Ave Font Martelo
Humacao, PR 00791
Phone (787) 852-0886

334 Calle Font Martelo
Humacao, PR 00791
Phone (787) 852-0886

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1265492201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920428",
            "telephone_number": "787-852-0886",
            "fax_number": "787-852-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913229",
            "telephone_number": "787-852-0886",
            "fax_number": "787-852-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-COVAS",
        "first_name": "AGUSTIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "10627",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.