Individual provider Active NPI

Hernan Lopez Vidal, D.C.

  • Chiropractor
  • Guaynabo, PR
National Provider Identifier
1376781690
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
448 Issued in PR
Practice address
Plaza Real Shopping Center
Suite 307
Guaynabo, PR 00965
Phone
(787) 999-6570
Fax
(787) 999-6571
NPI assigned
Jan 23, 2009
Last updated
Feb 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 448 PR Primary

Addresses

Primary practice location

Plaza Real Shopping Center
Suite 307
Guaynabo, PR 00965

Mailing address

Plaza Real Shopping Center
Suite 307
Guaynabo, PR 00965
Phone (787) 999-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000812 PR Practitioner - Chiropractic 1153519301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B3 Calle Marginal
Guaynabo, PR 00969-3421
Phone (787) 671-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalidad Quiropractica Chiropractor Current Accepting new patients
Impulso Vital LLC Chiropractor CurrentSince Apr 20, 2025 Accepting new patients

Locations

B3 Calle Marginal
Guaynabo, PR 00969
Phone (787) 319-5176

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1376781690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA REAL SHOPPING CENTER",
            "address_2": "SUITE 307",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00965",
            "telephone_number": "787-999-6570",
            "fax_number": "787-999-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA REAL SHOPPING CENTER",
            "address_2": "SUITE 307",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00965",
            "telephone_number": "787-999-6570",
            "fax_number": "787-999-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VIDAL",
        "first_name": "HERNAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.