Luis Manuel Lopez Cruz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23398 Issued in PR

Practice address

Puerto Rico Medical Center
Bo. Monacillos, Rio Piedras
San Juan, PR 00921

Phone

(787) 777-3535

NPI assigned

Jun 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Administracion de Servicios de Salud Mental Y Contra la Adiccion

  • Substance Abuse Rehabilitation Facility
  • San Juan, PR
  • NPI 1326177619
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1407587082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7331",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719798",
            "telephone_number": "787-610-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUERTO RICO MEDICAL CENTER",
            "address_2": "BO. MONACILLOS, RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ CRUZ",
        "first_name": "LUIS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA DE PUERTO RICO",
            "identifier": "23398",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lopez Beauchamp, M.D.
• Jose Javier Lopez Burrezo, M. D.
• Ivette Alexandra Lopez Colon
• Emanuel Lopez Cortes
• Camille Anais Lopez Crespo, DC
• Maria Eugenia Lopez Cruz, RN
• Vivian Marie Lopez Cruz, CPHT
• Liana E Lopez Davila, MD
• Nitzaliz Lopez Delgado
• David Lopez Diaz

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.