Ivan Loperena, PROPIETARY

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1094 Issued in PR

Practice address

68 Urb Cristal
Bo Corrales
Aguadilla, PR 00603-6306

Phone

(787) 882-5915

NPI assigned

May 12, 2008

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

Other identifiers 19

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fabinael Medical Corp

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1447589106
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1447427240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 URB CRISTAL",
            "address_2": "BO CORRALES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006036306",
            "telephone_number": "787-882-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 URB CRISTAL",
            "address_2": "BO CORRALES",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006036306",
            "telephone_number": "787-882-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPERENA",
        "first_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "PROPIETARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PR",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC MEDICARE CHOICE",
            "identifier": "20458",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS REFORMA",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD PLUS",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDER",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SELECTO",
            "identifier": "31489",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD CHOICE",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI MEDICARE",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "31489",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EXCELL",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS CLASSICARE",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CARD",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAL;UD DORADA MEDICARE",
            "identifier": "1053383216",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMO",
            "identifier": "31489",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31489",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6030092",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "660561350",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "20526",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomas Larrieux Sr., PH.D.
• Tatiana Del Mar Lassalle Castro
• Lecm Ortho Group, LLC
• Jaime Cayetano Ledesma, M.D.
• Annabelle Lipsett, M.D.
• Ryan Lopez Concepcion, MD
• Erick Lopez Javier, MD
• Anibal Jan Pierre Lopez Lliteras, AUD.
• Roxana Lopez Matias, ND
• Deborah Lopez Ortega

• Case Manager/Care Coordinator in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Case Manager/Care Coordinator in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.