Individual provider Active NPI

Carlos Ruben Alomar Lopez, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1427664762
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22012 Issued in PR
Practice address
Ave. Laurel Z23 Local 2
Urb. Lomas Verdes
Bayamon, PR 00956
Phone
(939) 625-3639
NPI assigned
Sep 22, 2020
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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 22012 PR Primary

Addresses

Primary practice location

Ave. Laurel Z23 Local 2
Urb. Lomas Verdes
Bayamon, PR 00956

Mailing address

Z23 Ave Laurel
Bayamon, PR 00956-3244
Phone (939) 625-3639

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
I20201013001238 PR Practitioner - General Practice 5890115885 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Calle Cupey GDNS
Suite 11W
San Juan, PR 00926-7366
Phone (787) 760-4425

Z23 Ave Laurel
Bayamon, PR 00956-3244
Phone (939) 625-3639

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22012PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CSM Servicios de Cuidado Inc. CurrentSince Jun 4, 2021 Accepting new patients
Ca Medical LLC General Practice CurrentSince Apr 15, 2025 Accepting new patients

Locations

Z23 Ave Laurel
Bayamon, PR 00956
Phone (787) 608-0855

Organizations & group practices 2

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.

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1427664762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Z23 AVE LAUREL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563244",
            "telephone_number": "939-625-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LAUREL Z23 LOCAL 2",
            "address_2": "URB. LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "939-625-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOMAR LOPEZ",
        "first_name": "CARLOS",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.