Individual provider Active NPI

Victor Rafael Fuentes- Lopez, AU. D.

  • Audiologist
  • Cayey, PR
National Provider Identifier
1275207953
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1021 Issued in PR
Practice address
Hospital Municipal Mariano Rivera Ramos
124 C Salvador Brau 154 Ste 101
Cayey, PR 00736
Phone
(787) 205-2676
NPI assigned
Aug 5, 2021
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1021 PR Primary

Addresses

Primary practice location

Hospital Municipal Mariano Rivera Ramos
124 C Salvador Brau 154 Ste 101
Cayey, PR 00736

Mailing address

HC 44 Box 12680
Cayey, PR 00736-9732
Phone (787) 205-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011002253 PR Practitioner - Qualified Audiologist 4385042084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Calle Salvador Brau
Suite 154
Cayey, PR 00736-4628
Phone (787) 205-2676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1021PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Escucha PSC Audiologist CurrentSince Feb 1, 2022 Accepting new patients
Precision Hearing Center Inc Audiologist PastSince May 23, 2024 Accepting new patients

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1275207953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 44 BOX 12680",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369732",
            "telephone_number": "787-205-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL MUNICIPAL MARIANO RIVERA RAMOS",
            "address_2": "124 C SALVADOR BRAU 154 STE 101",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-205-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES- LOPEZ",
        "first_name": "VICTOR",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.