Individual provider Active NPI

Tomas Jordan-Lopez, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1447288972
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5701 Issued in PR
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5701PRMDCounseling 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

Sources for this page

Verify at the official NPI Registry.