Individual provider Active NPI

Oscar Emilio Rodriguez Lopez, M.D.

  • Pediatric Hospice and Palliative Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1548487234
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X
License
4810 Issued in PR
Practice address
Genova Street, G-31
Extension Villa Caparra
Guaynabo, PR 00966-1730
Phone
(787) 630-1525
Fax
(787) 793-1913
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 4810 PR Primary

Addresses

Primary practice location

Genova Street, G-31
Extension Villa Caparra
Guaynabo, PR 00966-1730

Mailing address

Genova Street, G-31
Extension Villa Caparra
Guaynabo, PR 00966-1730
Phone (787) 630-1525

Other identifiers 1

IdentifierTypeStateIssuer
4810OtherPRSTATE PRACTICE LICENSE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4810PRMDPediatric Hospice and Palliative Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1548487234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GENOVA STREET, G-31",
            "address_2": "EXTENSION VILLA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661730",
            "telephone_number": "787-630-1525",
            "fax_number": "787-793-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENOVA STREET, G-31",
            "address_2": "EXTENSION VILLA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661730",
            "telephone_number": "787-630-1525",
            "fax_number": "787-793-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LOPEZ",
        "first_name": "OSCAR",
        "middle_name": "EMILIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "PR",
            "license": "4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PRACTICE LICENSE",
            "identifier": "4810",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.