Active NPI
Hector Luis Lopez-Ortiz, M.D.
- General Practice Physician
- Edgefield, SC
National Provider Identifier
1386842342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15129
- Practice address
- 501 Gary Hill Rd
Edgefield, SC 29824-4503 - Phone
- (803) 637-1444
- NPI assigned
- Jul 10, 2007
- Last updated
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15129 | PR | Primary |
| General Practice Physician | 208D00000X | ACN 200 | FL |
Addresses
Primary practice location
501 Gary Hill Rd
Edgefield, SC 29824-4503
Mailing address
1092 Hampstead PL
Martinez, GA 30907-6200
Phone (787) 557-6225
Other names 1
- Dr. Hector Luis Lopez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15129 | PR | MD | Clinical Social Worker |
| ACN 200 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1386842342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1092 HAMPSTEAD PL",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309076200",
"telephone_number": "787-557-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 GARY HILL RD",
"city": "EDGEFIELD",
"state": "SC",
"postal_code": "298244503",
"telephone_number": "803-637-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-ORTIZ",
"first_name": "HECTOR",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15129",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN 200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HECTOR",
"last_name": "LOPEZ",
"middle_name": "LUIS",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edgefield, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.