Active NPI
Arissay Lopez Pomales, 000156-P.A.
- Medical Physician Assistant
- San Juan, PR
National Provider Identifier
1326708900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000156-P.A
- Practice address
- Calle San Rafael 1396
San Juan, PR 00910 - Phone
- (787) 982-2200
- NPI assigned
- Dec 23, 2021
- Last updated
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000156-P.A. | PR | |
| Medical Physician Assistant | 363AM0700X | 000156-P.A | PR | Primary |
Addresses
Primary practice location
Calle San Rafael 1396
San Juan, PR 00910
Mailing address
Urbanizacion Horizonte Calle Alegria F24
Gurabo, PR 00778
Phone (787) 396-9846
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000156-P.A | PR | MD | Medical Physician Assistant |
| 000156-P.A. | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1326708900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION HORIZONTE CALLE ALEGRIA F24",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-396-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE SAN RAFAEL 1396",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00910",
"telephone_number": "787-982-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ POMALES",
"first_name": "ARISSAY",
"credential": "000156-P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "000156-P.A.",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "000156-P.A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.