Carlos A Lopez de Victoria Cabrera

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11252 Issued in PR

Practice address

10 Calle Concepcion Ste 1
Guayanilla, PR 00656-1710

Phone

(787) 835-8237

Fax

(787) 835-8237

NPI assigned

Jul 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336165281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CALLE CAMPECHE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171770",
            "telephone_number": "787-843-6174",
            "fax_number": "787-843-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CONCEPCION STE 1",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561710",
            "telephone_number": "787-835-8237",
            "fax_number": "787-835-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DE VICTORIA CABRERA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEATH PLAN",
            "identifier": "119-11752",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC-MEDICARE",
            "identifier": "3202",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84088LO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Guayanillense CSP
• Laboratorio Ebenezer LLC
• Lemar Ponce LLC (Farmacia Lemar 2)
• Lemar Ponce LLC (Farmacia Lemar II)
• Life Quality Medical Group & Associates
• Jose A Lopez Torres, MD
• Jose A Lopez Velazquez, MD
• Narlyn Lopez
• Veronica Lopez, MD
• Miguel Magraner

• General Practice Physician in Guayanilla, PR
• Providers in Guayanilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.