Doralice Lopez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12525 Issued in PR

Practice address

Aa10 Camino Panoramico
Altavilla Urb.Encantada
Trujillo Alto, PR 00976-6088

Phone

(787) 755-4437

Fax

(787) 755-4437

NPI assigned

Jul 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215216000000",
    "number": "1528221090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AA10 CAMINO PANORAMICO",
            "address_2": "ALTAVILLA URB.ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766088",
            "telephone_number": "787-755-4437",
            "fax_number": "787-755-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA10 CAMINO PANORAMICO",
            "address_2": "ALTAVILLA URB.ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766088",
            "telephone_number": "787-755-4437",
            "fax_number": "787-755-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DORALICE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-05",
        "last_updated": "2008-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "PR",
            "license": "12525",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Lopez Mendez, MD
• Juan E Lopez Santos
• David J Lopez-Maldonado, PHARM D
• Ana N. Lopez, DMD,MPH
• Damaris Lopez
• Luz M Lopez
• Marisol Lopez, RPH
• Yeliffer Marie Lorenzo, MS SLP
• Kaitlyn Renae Lozano
• Lissette Lugo, MSW

• General Practice Physician in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.