Individual provider Active NPI

Luis Ernesto Lopez del Pozo, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1548338700
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13931 Issued in PR
Practice address
Calle Concordia 8169 Suite 5
Condominio San Vicente
Ponce, PR 00717-1555
Phone
(787) 290-2195
Fax
(787) 290-2195
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13931 PR Primary

Addresses

Primary practice location

Calle Concordia 8169 Suite 5
Condominio San Vicente
Ponce, PR 00717-1555

Mailing address

Calle Concordia 8169 Suite 5
Condominio San Vicente
Ponce, PR 00717-1555
Phone (787) 290-2195

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
I20040629000931 PR Practitioner - General Practice 8921084906 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

396 Calle Dr Luis F Salas
Urb. Ind. Reparada
Ponce, PR 00716
Phone 78781225255835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13931PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation General Practice CurrentSince Jul 1, 2015 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2015 Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients
Primary Care and Weight Loss Center General Practice Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1548338700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE CONCORDIA 8169 SUITE 5",
            "address_2": "CONDOMINIO SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171555",
            "telephone_number": "787-290-2195",
            "fax_number": "787-290-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CONCORDIA 8169 SUITE 5",
            "address_2": "CONDOMINIO SAN VICENTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171555",
            "telephone_number": "787-290-2195",
            "fax_number": "787-290-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DEL POZO",
        "first_name": "LUIS",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.