Individual provider Active NPI

Gloria I Lopez Pena, M.D

  • Infectious Disease Physician
  • Gurabo, PR
National Provider Identifier
1457897514
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
19541 Issued in PR
Practice address
187 Calle Flamboyan
Urbanizacion Gran Vista 1
Gurabo, PR 00778-5023
Phone
(787) 308-8998
NPI assigned
Jan 13, 2017
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19541 PR
Infectious Disease Physician 207RI0200X 19541 PR Primary

Addresses

Primary practice location

187 Calle Flamboyan
Urbanizacion Gran Vista 1
Gurabo, PR 00778-5023

Mailing address

187 Calle Flamboyan
Urbanizacion Gran Vista 1
Gurabo, PR 00778-5023
Phone (787) 308-8998

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
I20240925004309 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 5698216992 Practice locations: Gurabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

187 Calle Flamboyan
Gurabo, PR 00778-5023
Phone (787) 308-8998

Urb Gran Vista
1 187 Calle Flamboyan
Gurabo, PR 00778-5023

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 2

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1457897514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 CALLE FLAMBOYAN",
            "address_2": "URBANIZACION GRAN VISTA 1",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785023",
            "telephone_number": "787-308-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 CALLE FLAMBOYAN",
            "address_2": "URBANIZACION GRAN VISTA 1",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785023",
            "telephone_number": "787-308-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ PENA",
        "first_name": "GLORIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19541",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "19541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

Verify at the official NPI Registry.