Individual provider Active NPI

Luis Antonio Lopez Perez, MD

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1477025591
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21690 Issued in PR
Practice address
Carr #2 KM 47.7
Manati, PR 00674-4700
Phone
(787) 621-3322
NPI assigned
Dec 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21690 PR
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 21690 PR Primary

Addresses

Primary practice location

Carr #2 KM 47.7
Manati, PR 00674-4700

Mailing address

592 Calle Cesar Gonzalez Apt 711
San Juan, PR 00918-3957
Phone (787) 515-7316

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
I20221220001377 PR Practitioner - Family PracticePractitioner - General Practice 5395114060 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 KM
7 Bo Cotto Norte
Manati, PR 00674-8513
Phone (787) 621-3322

Hospital & facility affiliations

  • Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118
  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21690PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Owner LLC Single Specialty Past Accepting new patients
Manati Medical Center Past Accepting new patients
Doctors Center Hospital Inc Single Specialty Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1477025591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 CALLE CESAR GONZALEZ APT 711",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183957",
            "telephone_number": "787-515-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 47.7",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744700",
            "telephone_number": "787-621-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ PEREZ",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.