Individual provider Active NPI

Josely C. Lopez Nieves, M.D.

  • General Practice Physician
  • San Lorenzo, PR
National Provider Identifier
1407080088
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
017379 Issued in PR
Practice address
186 Calle Munoz Rivera S
San Lorenzo, PR 00754-4212
Phone
(787) 739-8182
NPI assigned
May 11, 2009
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 017379 PR Primary

Addresses

Primary practice location

186 Calle Munoz Rivera S
San Lorenzo, PR 00754-4212

Mailing address

PO Box 1955
Caguas, PR 00726-1955
Phone (787) 248-5144

Other identifiers 1

IdentifierTypeStateIssuer
HP698AOtherMEDICARE PTAN

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
I20131113001608 PR Practitioner - General Practice 9931335379 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017379PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Mar 18, 2025 Accepting new patients
Cossma Inc CurrentSince Mar 18, 2025 Accepting new patients
Medicina Primaria Dra Lopez Nieves LLC Past Accepting new patients

Locations

186 Calle Munoz Rivera S
San Lorenzo, PR 00754
Phone (787) 736-1090

186 Calle Munoz Rivera S
#Y
San Lorenzo, PR 00754

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, 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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1407080088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1955",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261955",
            "telephone_number": "787-248-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CALLE MUNOZ RIVERA S",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007544212",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ NIEVES",
        "first_name": "JOSELY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "017379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HP698A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.