Individual provider Active NPI

Fermin Antonio Lopez, M.D.

  • Cardiovascular Disease Physician
  • Humacao, PR
National Provider Identifier
1356572556
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17676 Issued in PR
Practice address
Reparto Mendoza B3
Humacao, PR 00791-2840
Phone
(787) 433-1994
Fax
(787) 719-3381
NPI assigned
Aug 5, 2009
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17676 PR
Cardiovascular Disease Physician 207RC0000X 17575 PR
Cardiovascular Disease Physician 207RC0000X 17676 PR Primary
General Practice Physician 208D00000X 17676 PR

Addresses

Primary practice location

Reparto Mendoza B3
Humacao, PR 00791-2840

Mailing address

PO Box 216
Humacao, PR 00792-0216
Phone (787) 240-3548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000777 PR Practitioner - Internal MedicinePractitioner - General Practice 2264562487 Reassigns benefits to 3 organizations
Practice locations: Coto Laurel, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Calle Jazmin
Coto Laurel, PR 00780-2840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17575PRMDCardiovascular Disease Physician
17676PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Primary Care LLC Internal Medicine CurrentSince May 19, 2023 Accepting new patients
Mennonite General Hospital Inc CurrentSince Nov 8, 2014 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Nov 8, 2014 Accepting new patients
Primary Internal Med LLC Internal Medicine Current Accepting new patients
Cardiocare Plus LLC Cardiovascular Disease CurrentSince Jun 23, 2023 Accepting new patients
Mennonite General Hospital Inc Cardiovascular Disease Current Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1356572556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920216",
            "telephone_number": "787-240-3548",
            "fax_number": "787-719-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REPARTO MENDOZA B3",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007912840",
            "telephone_number": "787-433-1994",
            "fax_number": "787-719-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "FERMIN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17676",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "17575",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "17676",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.