Active NPI
Keysha Marie Lopez Vega, MD
- Nephrology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 21131
- Practice address
- 155 Ave Arterial Hostos Apt 222
San Juan, PR 00918-2938 - Phone
- (787) 316-3753
- NPI assigned
- Apr 16, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21131 | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TL.0008177 | CO | |
| Nephrology Physician | 207RN0300X | 21131 | PR | Primary |
Addresses
Primary practice location
155 Ave Arterial Hostos Apt 222
San Juan, PR 00918-2938
Mailing address
1033 Calle Cerro Saliente
Urb. Quintas de Altamira
Juana Diaz, PR 00795-9107
Phone (787) 316-3753
Other practice location 1
1033 Calle Cerro Saliente
Urb. Quintas de Altamira
Juana Diaz, PR 00795-9107
Phone (787) 316-3753
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bo Monacillos Centro Medico de PR
Administracion de Servicios Medicos (Asem)
Rio Piedras, PR 00935
Phone (787) 777-3535
Ponce de Leon Ave
715 Stop 37.5
San Juan, PR 00918-1000
Phone (787) 771-7934
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.6 of 100
- Quality
- 66.19
- Improvement activities
- 40
- Cost
- 73.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL.0008177 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Single Specialty | Current | Accepting new patients |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Single Specialty | Current | Accepting new patients |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Single Specialty | Current | Accepting new patients |
Locations
715 Ave Ponce de Leon
#375
San Juan, PR 00917
Phone (787) 717-6763
BO Monacillos Centro Medico De
San Juan, PR 00935
Phone 78775825252379
715 Ave Ponce de Leon
San Juan, PR 00917
Phone 7877582000 ext. 3216
715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grupo Cirugias Higado y Trasplantes Auxilio Mutuo
- Specialist
- San Juan, PR
- NPI 1487947214
Single Specialty
-
dba Recinto de Ciencias Medicas (Nefrologia-RCM)
- Nephrology Physician
- San Juan, PR
- NPI 1538241666
Single Specialty
-
- Rehabilitation Clinic/Center
- San Juan, PR
- NPI 1992369615
-
dba Cirugia Colorrectal RCM
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1487041596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 CALLE CERRO SALIENTE",
"address_2": "URB. QUINTAS DE ALTAMIRA",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "007959107",
"telephone_number": "787-316-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 AVE ARTERIAL HOSTOS APT 222",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182938",
"telephone_number": "787-316-3753"
}
],
"practiceLocations": [
{
"address_1": "1033 Calle Cerro Saliente",
"address_2": "Urb. Quintas de Altamira",
"address_purpose": "LOCATION",
"city": "Juana Diaz",
"state": "PR",
"postal_code": "007959107",
"country_code": "US",
"telephone_number": "787-316-3753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ VEGA",
"first_name": "KEYSHA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-16",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "21131",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL.0008177",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "21131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.