Individual provider Active NPI

Antonio Medina Lopez, MD

  • Obstetrics & Gynecology Physician
  • Juncos, PR
National Provider Identifier
1487796553
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13083 Issued in PR
Practice address
Calle Lope Hormazabal # 40 Urb Madrid
Juncos, PR 00777-0000
Phone
(787) 734-6020
Fax
(787) 737-0006
NPI assigned
Feb 13, 2007
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13083 PR Primary

Addresses

Primary practice location

Calle Lope Hormazabal # 40 Urb Madrid
Juncos, PR 00777-0000

Mailing address

40 Calle Lopez Hormazabal
Juncos, PR 00777-3105
Phone (787) 734-6020

Other identifiers 9

IdentifierTypeStateIssuer
LACRUZ AZUL DE PROtherPR061866
AMERICAN HEALTHOtherPR1195
HUMANA REFORMAOtherPR7920028
IMCOtherPR7846
ACAAOtherPR1605232
MMMOtherPR995824
GLOBAL HEATLHOtherPR12613083
PREFERRED HEALTH PLAOtherPR209516
TRIPLE SOtherPR20998

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
I20180919001041 PR Practitioner - Obstetrics/Gynecology 8921359605 Practice locations: Juncos, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13083PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ag Women Health Services Corp. Past Accepting new patients
Ryder Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1487796553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CALLE LOPEZ HORMAZABAL",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773105",
            "telephone_number": "787-734-6020",
            "fax_number": "787-734-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LOPE HORMAZABAL # 40 URB MADRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770000",
            "telephone_number": "787-734-6020",
            "fax_number": "787-737-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA LOPEZ",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "13083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "061866",
            "identifier": "LACRUZ AZUL DE PR",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1195",
            "identifier": "AMERICAN HEALTH",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7920028",
            "identifier": "HUMANA REFORMA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7846",
            "identifier": "IMC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1605232",
            "identifier": "ACAA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "995824",
            "identifier": "MMM",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12613083",
            "identifier": "GLOBAL HEATLH",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "209516",
            "identifier": "PREFERRED HEALTH PLA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "20998",
            "identifier": "TRIPLE S",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.