Jose Luis Lopez, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

13112 Issued in PR

Practice address

Sardinera Beach Building, Urb. Costa de Oro, C/Marginal
Suite 3
Dorado, PR 00646-2055

Phone

(787) 278-3636

Fax

(787) 278-8494

NPI assigned

Jul 21, 2005

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

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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

University of Puerto Rico School of Medicine, 1995

Medicare assignment

May accept Medicare assignment

Group practices

CDT Centro de Servicios Medicos Integrados IncGroup PAC ID 5092996652, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CDT Centro de Servicios Medicos Integrados, Inc.

  • Clinic/Center
  • Bayamon, PR
  • NPI 1942408067
  Medicare reassignment Care Compare group NPD
• CDT Centro de Servicios Medicos Integrados Inc.

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1487895314
  NPD
• Centro de Servicios Medicos Integrados

  • Clinic/Center
  • Bayamon, PR
  • NPI 1619048006
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1407855372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO DEL SOL",
            "address_2": "209 CALLE METIS",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464618",
            "telephone_number": "787-405-6346",
            "fax_number": "787-278-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SARDINERA BEACH BUILDING, URB. COSTA DE ORO, C/MARGINAL",
            "address_2": "SUITE 3",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462055",
            "telephone_number": "787-278-3636",
            "fax_number": "787-278-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "13112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M Lopez
• Arnaldo Juan Lopez, PSY.D
• Dariselle M Lopez, BA
• Gladiminet Lopez, PSY.D.
• Joan Lopez
• Ruth Johanna Lopez, LIC.
• Sally Loraine Lopez, M.A.
• Ricardo Antonio Lorenzo Cerra
• Fausto Carlos Lugo Morales, MD
• Milagros Luiggi, MD

• Geriatric Medicine (Family Medicine) Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Geriatric Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.