Active NPI
Jose Enrique Lopez Rivera, BSN/RN
- General Practice Registered Nurse
- Caguas, PR
National Provider Identifier
1548749757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 86976
- Practice address
- Consolidated Mall B5
202 Ave Gautier Benitez
Caguas, PR 00726-0000 - Phone
- (787) 704-0705
- NPI assigned
- Aug 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 86976 | PR | Primary |
Addresses
Primary practice location
Consolidated Mall B5
202 Ave Gautier Benitez
Caguas, PR 00726-0000
Mailing address
PO Box 370814
Cayey, PR 00737-0814
Phone (787) 557-0478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080025105659 | Medicaid | PR |
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86976 | PR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1548749757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370814",
"city": "CAYEY",
"state": "PR",
"postal_code": "007370814",
"telephone_number": "787-557-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONSOLIDATED MALL B5",
"address_2": "202 AVE GAUTIER BENITEZ",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007260000",
"telephone_number": "787-704-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ RIVERA",
"first_name": "JOSE",
"middle_name": "ENRIQUE",
"name_prefix": "Mr.",
"credential": "BSN/RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "86976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080025105659",
"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 Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.