Individual provider Active NPI

Sofia Margarita Lopez Diaz, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1275063505
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23081 Issued in PR
Practice address
Puerto Rico Medical Center
Bo Monacillos
San Juan, PR 00917
Phone
(787) 480-2791
NPI assigned
Jun 19, 2017
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23081 PR Primary

Addresses

Primary practice location

Puerto Rico Medical Center
Bo Monacillos
San Juan, PR 00917

Mailing address

Murano Luxury Aparments
Guaynabo, PR 00969-7201
Phone (787) 630-6573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210928002771 NJ Practitioner - Obstetrics/Gynecology 1254738669 Reassigns benefits to 1 organization
I20241011001700 PR Practitioner - Obstetrics/Gynecology 1254738669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
San Juan Bautista School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1399 Calle Feria
San Juan, PR 00909-2519
Phone (787) 520-9699

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23081PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SLD OBGYN LLC Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Regional Women's Health Group, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients

Locations

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

7400 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 623-3999

500 Frank W Burr Blvd
Teaneck, NJ 07666
Phone (201) 968-1800

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

1399 Calle Feria
Santurce, PR 00909
Phone (787) 433-3323

Organizations & group practices 3

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1275063505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MURANO LUXURY APARMENTS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697201",
            "telephone_number": "787-630-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUERTO RICO MEDICAL CENTER",
            "address_2": "BO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-480-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DIAZ",
        "first_name": "SOFIA",
        "middle_name": "MARGARITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "23081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.