Active NPI
Claudia Sofia Lopez, MD
- General Practice Physician
- Humacao, PR
National Provider Identifier
1497364160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21709
- Practice address
- Palmas del Mar
Arenas #45
Humacao, PR 00791-6002 - Phone
- (787) 457-1058
- NPI assigned
- Jul 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21709 | PR | Primary |
Addresses
Primary practice location
Palmas del Mar
Arenas #45
Humacao, PR 00791-6002
Mailing address
Palmas del Mar
Arenas #45
Humacao, PR 00791-6002
Phone (787) 457-1058
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 |
|---|---|---|---|---|
| I20250710004443 | PR | Practitioner - General Practice | 3375058282 | Practice locations: Humacao, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21709 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1497364160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PALMAS DEL MAR",
"address_2": "ARENAS #45",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007916002",
"telephone_number": "787-457-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PALMAS DEL MAR",
"address_2": "ARENAS #45",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007916002",
"telephone_number": "787-457-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CLAUDIA",
"middle_name": "SOFIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.