Individual provider Active NPI

Wilfredo Lopez Hernandez, MD

  • Urology Physician
  • Caguas, PR
National Provider Identifier
1487643417
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4340 Issued in PR
Practice address
2E18 Ave Munoz Marin
Caguas, PR 00725-6245
Phone
(787) 746-4500
Fax
(787) 746-4500
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4340 PR Primary

Addresses

Primary practice location

2E18 Ave Munoz Marin
Caguas, PR 00725-6245

Mailing address

PO Box 6389
Caguas, PR 00726-6389
Phone (787) 746-4500

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
I20040517001118 PR Practitioner - Urology 9931199338 Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4340PRMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1487643417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6389",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266389",
            "telephone_number": "787-746-4500",
            "fax_number": "787-746-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2E18 AVE MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256245",
            "telephone_number": "787-746-4500",
            "fax_number": "787-746-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ HERNANDEZ",
        "first_name": "WILFREDO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "4340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.