Wilfredo Raphael Paoli Lopez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14892 Issued in PR

Practice address

Mansiones de Coamo
319 Calle Imperio
Coamo, PR 00769-9307

Phone

(939) 630-0961

Fax

(787) 825-1699

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764

  PR

  Medicare reassignment NPD
• Mennonite General Hospital Inc

  • General Acute Care Hospital
  • Aibonito, PR
  • NPI 1851320394

  PR

  Medicare reassignment NPD
• Golf Medical Services CSP

  • General Practice Physician
  • Santa Isabel, PR
  • NPI 1861314924

  General Practice

  NPD (past) Authorized official
• Hospital Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  General Practice

  NPD
• Mennonite General Hospital Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1144099813
  NPD
• Family Chiropractic Care LLC

  • Chiropractor
  • Juana Diaz, PR
  • NPI 1699534735
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1285797969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSIONES DE COAMO",
            "address_2": "319 CALLE IMPERIO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699307",
            "telephone_number": "939-630-0961",
            "fax_number": "787-825-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANSIONES DE COAMO",
            "address_2": "319 CALLE IMPERIO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699307",
            "telephone_number": "939-630-0961",
            "fax_number": "787-825-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLI LOPEZ",
        "first_name": "WILFREDO",
        "middle_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "14892",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Muniz Ortiz
• Raul D Ortiz
• Raul Damaso Ortiz, D.D.S.
• Felix Pagan Sr., MSW
• Pao'S Pharmacy, Inc
• Karla E Pizarro, OTL
• Policlinica General de Coamo
• Ponce Medical School Foundation
• Ponce Medical School Foundation Inc.
• Preserve Vision LLC

• All providers in Coamo, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.