Individual provider Active NPI

Adalberto Lopez Aviles

  • Anesthesiology Physician
  • Bayamon, PR
National Provider Identifier
1407959786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
12194 Issued in PR
Practice address
Calle Santa Cruz #70
Urb. Santa Cruz
Bayamon, PR 00959
Phone
(787) 620-9581
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 12194 PR Primary

Addresses

Primary practice location

Calle Santa Cruz #70
Urb. Santa Cruz
Bayamon, PR 00959

Mailing address

Calle Poma Rosa 116
Urb. Ladera de San Juan
San Juan, PR 00926-9330
Phone (787) 620-9581

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
I20031124000572 PR Practitioner - Anesthesiology 6305740077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ponce School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mennonite General Hospital IncGroup PAC ID 6709843964, 47 clinicians
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

  • Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12194PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Apr 1, 2018 Accepting new patients
Mennonite General Hospital Inc CurrentSince Apr 1, 2018 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jun 9, 2024 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jun 9, 2024 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Saint Lukes Memorial Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
Centro Medico del Turabo Inc Past Accepting new patients
Turabo Medical Center Partnership Past Accepting new patients

Locations

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407959786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE POMA ROSA 116",
            "address_2": "URB. LADERA DE SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269330",
            "telephone_number": "787-620-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ #70",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-620-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ AVILES",
        "first_name": "ADALBERTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "12194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.