Individual provider Active NPI

Vicente Lopez-Hidalgo, MD

  • Otology & Neurotology Physician
  • San Juan, PR
National Provider Identifier
1477594489
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
7359 Issued in PR
Practice address
500 Ave Munoz Rivera
El Centro II Suite 607
San Juan, PR 00918-3300
Phone
(787) 764-2860
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 7359 PR Primary

Addresses

Primary practice location

500 Ave Munoz Rivera
El Centro II Suite 607
San Juan, PR 00918-3300

Mailing address

500 Ave Munoz Rivera
El Centro II Suite 607
San Juan, PR 00918-3300
Phone (787) 764-2860

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
I20100513000476 PR Practitioner - Otolaryngology 1052449907 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Puerto Rico School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Munoz Rivera
El Centro 2 607
San Juan, PR 00918
Phone (787) 764-2860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7359PRMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Ear Clinic Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1477594489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE MUNOZ RIVERA",
            "address_2": "EL CENTRO II SUITE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183300",
            "telephone_number": "787-764-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE MUNOZ RIVERA",
            "address_2": "EL CENTRO II SUITE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183300",
            "telephone_number": "787-764-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-HIDALGO",
        "first_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "PR",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.