Active NPI
Edia Esther Lopez, M.T.
- Clinical Laboratory Director (Non-physician)
- Camuy, PR
National Provider Identifier
1306081989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- License
- 1270
- Practice address
- 111 Ave Munoz Rivera Oeste
Camuy, PR 00627-2649 - Phone
- (787) 898-6032
- Fax
- (787) 898-6032
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | 1270 | PR | Primary |
Addresses
Primary practice location
111 Ave Munoz Rivera Oeste
Camuy, PR 00627-2649
Mailing address
111 Ave Munoz Rivera W
Camuy, PR 00627-2649
Phone (787) 898-6032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081210000106 | PR | Part B Supplier - Independent Clinical Laboratory | 5092876011 | Practice locations: Camuy, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1270 | PR | MD | Clinical Laboratory Director (Non-physician) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorio Clinico Lopez LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Camuy, PR
- NPI 1164466306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1306081989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 AVE MUNOZ RIVERA W",
"city": "CAMUY",
"state": "PR",
"postal_code": "006272649",
"telephone_number": "787-898-6032",
"fax_number": "787-898-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 AVE MUNOZ RIVERA OESTE",
"city": "CAMUY",
"state": "PR",
"postal_code": "006272649",
"telephone_number": "787-898-6032",
"fax_number": "787-898-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "EDIA",
"middle_name": "ESTHER",
"name_prefix": "Mrs.",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "PR",
"license": "1270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.