Individual provider Active NPI

Adriana Lopez Guzman, PA

  • Medical Physician Assistant
  • Rio Grande, PR
National Provider Identifier
1295376093
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000250 Issued in PR
Practice address
Calle 4 L 1
Villas de Rio Grande
Rio Grande, PR 00745
Phone
(787) 888-7336
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 000250 PR Primary

Addresses

Primary practice location

Calle 4 L 1
Villas de Rio Grande
Rio Grande, PR 00745

Mailing address

L25 Calle Trinitaria
Carolina, PR 00985-4223
Phone (787) 610-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000250PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Just Medical CurrentSince Oct 16, 2022 Accepting new patients
Rio Grande Medical Group PastSince Oct 6, 2019 Accepting new patients

Locations

L1 Calle 4
Rio Grande, PR 00745
Phone (787) 888-7336

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1295376093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L25 CALLE TRINITARIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854223",
            "telephone_number": "787-610-6888",
            "fax_number": "787-887-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 4 L 1",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-888-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GUZMAN",
        "first_name": "ADRIANA",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "000250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.