Individual provider Active NPI

Mamie Annexy Lopez, MD

  • Gastroenterology Physician
  • Manati, PR
National Provider Identifier
1497894505
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9979 Issued in PR
Practice address
A4 Calle Marginal
Manati, PR 00674-4903
Phone
(787) 884-5368
Fax
(787) 884-0881
NPI assigned
Feb 5, 2007
Last updated
Jan 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9979 PR Primary

Addresses

Primary practice location

A4 Calle Marginal
Manati, PR 00674-4903

Mailing address

PO Box 1036
Manati, PR 00674-1036
Phone (787) 884-5368

Other identifiers 7

IdentifierTypeStateIssuer
4270OtherPRIMC PROV. NUMBER
7010026OtherPRHUMANA PROV NUMBER
214148OtherPRPREFERRED HEALTH PROV. #
1259AOtherPRPMC PROV. NUMBER
600682OtherPRMMM PROV. NUMBER
82912ANOtherPRTRIPLE S PROV. #
060032OtherPRCRUZ AZUL PROV. NUMBER

Other names 1

  • Mamie Annexy Lopez Other name

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
I20120904000269 PR Practitioner - Internal MedicinePractitioner - Gastroenterology 8325295959 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

A4 Calle Marginal
Manati, PR 00674-4959
Phone (787) 884-0881

PO Box
Manati, PR 00674-1036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Upper gastrointestinal (GI) endoscopy for acid reflux40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sociedad Ortiz-Annexy Gastroenterologia Gastroenterology 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, 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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1497894505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741036",
            "telephone_number": "787-884-5368",
            "fax_number": "787-884-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A4 CALLE MARGINAL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744903",
            "telephone_number": "787-884-5368",
            "fax_number": "787-884-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNEXY LOPEZ",
        "first_name": "MAMIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "9979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROV. NUMBER",
            "identifier": "4270",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROV NUMBER",
            "identifier": "7010026",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PROV. #",
            "identifier": "214148",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROV. NUMBER",
            "identifier": "1259A",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROV. NUMBER",
            "identifier": "600682",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROV. #",
            "identifier": "82912AN",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROV. NUMBER",
            "identifier": "060032",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAMIE",
            "last_name": "ANNEXY LOPEZ",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.