Active NPI
Manuel Antonio Lozano Mendoza, M.D.
- General Practice Physician
- Caguas, PR
National Provider Identifier
1497873442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6002
- Practice address
- Urb Villa Blanca
Calle Amatista Edificio 101
Caguas, PR 00725 - Phone
- (787) 745-9145
- Fax
- (787) 745-9145
- NPI assigned
- Mar 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 83 | PR | |
| General Practice Physician | 208D00000X | 6002 | PR | Primary |
Addresses
Primary practice location
Urb Villa Blanca
Calle Amatista Edificio 101
Caguas, PR 00725
Mailing address
PO Box 430
Caguas, PR 00726-0430
Phone (787) 745-9145
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61101 | Other | PR | HUMANA GOLD CHOICE |
| 0027262 | Other | PR | TRIPLE S |
| 500029SE | Other | PR | MMM HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6002 | PR | MD | Clinical Psychologist |
| 83 | PR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hancock Regional Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269734400000",
"number": "1497873442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 430",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007260430",
"telephone_number": "787-745-9145",
"fax_number": "787-745-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB VILLA BLANCA",
"address_2": "CALLE AMATISTA EDIFICIO 101",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-745-9145",
"fax_number": "787-745-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO MENDOZA",
"first_name": "MANUEL",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2010-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PR",
"license": "83",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "6002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD CHOICE",
"identifier": "61101",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "0027262",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM HEALTHCARE",
"identifier": "500029SE",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.