Active NPI
Eva Iris Lopez-Guzman, MD
- General Practice Physician
- Lares, PR
National Provider Identifier
1477518173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5947
- Practice address
- Barrio Piletas Carr. 453 KM. 5.1 Int.
Lares, PR 00669-0960 - Phone
- (787) 897-8481
- Fax
- (787) 897-8481
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 5947 | PR | Primary |
Addresses
Primary practice location
Barrio Piletas Carr. 453 KM. 5.1 Int.
Lares, PR 00669-0960
Mailing address
PO Box 960
Lares, PR 00669
Phone (787) 897-3577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27043 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5947 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1477518173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 960",
"city": "LARES",
"state": "PR",
"postal_code": "00669",
"telephone_number": "787-897-3577",
"fax_number": "787-897-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO PILETAS CARR. 453 KM. 5.1 INT.",
"city": "LARES",
"state": "PR",
"postal_code": "006690960",
"telephone_number": "787-897-8481",
"fax_number": "787-897-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-GUZMAN",
"first_name": "EVA",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27043",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.