Jaime Pedro Lopez-Reverol, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

6830 Issued in PR

Practice address

Inst San Pablo Santa Cruz St.#66
Suite 306
Bayamon, PR 00961-7041

Phone

(787) 786-2690

Fax

(787) 787-5413

NPI assigned

Aug 3, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1386645182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INST SAN PABLO",
            "address_2": "SUITE 306",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-786-2690",
            "fax_number": "787-787-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INST SAN PABLO SANTA CRUZ ST.#66",
            "address_2": "SUITE 306",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-786-2690",
            "fax_number": "787-787-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-REVEROL",
        "first_name": "JAIME",
        "middle_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "6830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Luis Lopez-Huertas, MD
• Madeleine M Lopez-Jimenez, O.D.
• Yolanda Lopez-Lopez, M.D.
• Ricardo Andres Lopez-Martinez, M.D.,F.A.C.S.
• Daris J Lopez-Montanez, RPH
• Adalberto Lopez
• Alexandra Maria Lopez
• Alfredo D Lopez, CPOA-0094
• Auday Lopez, M.D.
• Edwin Lopez I, M.D.

• Specialist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.