Active NPI
Antonio Medina Lopez, MD
- Obstetrics & Gynecology Physician
- Juncos, PR
National Provider Identifier
1487796553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 13083
- 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, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LACRUZ AZUL DE PR | Other | PR | 061866 |
| AMERICAN HEALTH | Other | PR | 1195 |
| HUMANA REFORMA | Other | PR | 7920028 |
| IMC | Other | PR | 7846 |
| ACAA | Other | PR | 1605232 |
| MMM | Other | PR | 995824 |
| GLOBAL HEATLH | Other | PR | 12613083 |
| PREFERRED HEALTH PLA | Other | PR | 209516 |
| TRIPLE S | Other | PR | 20998 |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13083 | PR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Medical Specialty Clinic/Center
- Juncos, PR
- NPI 1104968270
-
- General Acute Care Hospital
- Humacao, PR
- NPI 1447270319
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
- MB Clinical Laboratories Corp. (Laboratorio Clinico Villa Ana Juncos III)
- MB Clinical Laboratories Corp. (Laboratorio Clinico Villa Ana 2)
- Med Services Inc
- Medical Services & Consulting Corp
- Mediko Imaging Inc.
- Grekchy N Melendez, DO
- Noe L Melendez Sr.
- Melissa Optica
- Melissa Optica & Lab. Inc
- Belmari Mendez Santiago, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.