Active NPI
Tomas Jordan-Lopez, MD
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1447288972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5701
- Practice address
- 51-39 Ave Main
Santa Rosa
Bayamon, PR 00959-6653 - Phone
- (787) 798-5615
- Fax
- (787) 740-1445
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5701 | PR | Primary |
Addresses
Primary practice location
51-39 Ave Main
Santa Rosa
Bayamon, PR 00959-6653
Mailing address
51-39 Ave Main
Santa Rosa
Bayamon, PR 00959-6653
Phone (787) 798-5615
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110512000309 | PR | Practitioner - General Practice | 1759567589 | Practice locations: Bayamon, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
39 Main Ave Bloq
Suite 51
Bayamon, PR 00959
Ave Main BLDG
39 Santa Rosa
Bayamon, PR 00959
Phone (787) 798-5615
Ave Main Bloque
39 Santa Rosa
Bayamon, PR 00959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5701 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1447288972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51-39 AVE MAIN",
"address_2": "SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009596653",
"telephone_number": "787-798-5615",
"fax_number": "787-740-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51-39 AVE MAIN",
"address_2": "SANTA ROSA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009596653",
"telephone_number": "787-798-5615",
"fax_number": "787-740-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN-LOPEZ",
"first_name": "TOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- JMS OB-GYN and Associates, P.S.C.
- Joel Pastrana (Primary Care)
- Jolly Medical Services Corp
- Guillermo H Jordan Diaz, MD
- Octavio Jordan Lopez, M.D.
- Gloriselis Jordan, MRC
- Yulaimi Meislinda Jordan, MD
- Jorge L Rios Floran (Farmacia Miraflores)
- Jose Guillermo Amy PM&R LLC
- Jose L. Ortega, Hematology and Oncology Group PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.