Individual provider Active NPI

Elizabeth M Orsini-Lopez, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Juan, PR
National Provider Identifier
1366639189
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2700 Issued in PR
Practice address
521 Antonio Varcarcel
Urb. Reparto America
San Juan, PR 00923-3337
Phone
(787) 755-4347
Fax
(787) 250-8450
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2700 PR
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2700 PR Primary

Addresses

Primary practice location

521 Antonio Varcarcel
Urb. Reparto America
San Juan, PR 00923-3337

Mailing address

PO Box 29736
San Juan, PR 00929-0736
Phone (787) 755-4347

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
I20120313000676 PR Practitioner - Maxillofacial Surgery 7012176928 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2700PRMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Nov 16, 2011 Accepting new patients
Recinto de Ciencias Medicas Oral & Maxillofacial Surgery CurrentSince Nov 16, 2011 Accepting new patients
Soc Dres Atilano Leon, Jose a Morales, Edgar Echevarria Oral and Maxillofacial Surgery Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

Primer Piso Hospital De Trauma
San Juan, PR 00935
Phone 78777735356408

Primer Piso Hospital De Tr
San Juan, PR 00935

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1366639189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29736",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290736",
            "telephone_number": "787-755-4347",
            "fax_number": "787-283-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ANTONIO VARCARCEL",
            "address_2": "URB. REPARTO AMERICA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233337",
            "telephone_number": "787-755-4347",
            "fax_number": "787-250-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSINI-LOPEZ",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2700",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.