Marcos Omar Lopez Fontanez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

823 Issued in PR

Practice address

521 Calle Barranquitas
San Juan, PR 00923-3328

Phone

(787) 616-7630

NPI assigned

Aug 19, 2024

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Juan Wellness Clinic LLC

  • Chiropractor
  • San Juan, PR
  • NPI 1235933664
  Medicare reassignment NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1346072360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CALLE NAPOLES APT 16E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244078",
            "telephone_number": "787-616-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 CALLE BARRANQUITAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233328",
            "telephone_number": "787-616-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ FONTANEZ",
        "first_name": "MARCOS",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitzaliz Lopez Delgado
• David Lopez Diaz
• Sofia Margarita Lopez Diaz, MD
• Paola M Lopez Dones
• Jose Javier Lopez Fontanet
• Ariana G Lopez Garcia
• Patricia Nicole Lopez Garcia
• Xavier Lopez Garib, MD
• Cindy Marie Lopez Hernandez
• Rafael A Lopez Hernandez, M.D.

• Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.

Verify at the official NPI Registry.