Individual provider Active NPI

Hector Luis Lopez-Ortiz, M.D.

  • General Practice Physician
  • Edgefield, SC
National Provider Identifier
1386842342
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15129 Issued in PR
Practice address
501 Gary Hill Rd
Edgefield, SC 29824-4503
Phone
(803) 637-1444
NPI assigned
Jul 10, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
15129PRMDClinical Social Worker
ACN 200FLMDGeneral 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.

Verify at the official NPI Registry.