Individual provider Active NPI

Ricardo Andres Lopez-Martinez, M.D.,F.A.C.S.

  • Urology Physician
  • Bayamon, PR
National Provider Identifier
1558363648
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10732 Issued in PR
Practice address
Inst San Pablo Ste 406
Calle Santa Cruz # 66
Bayamon, PR 00961
Phone
(787) 269-3355
Fax
(787) 269-3377
NPI assigned
Jun 2, 2005
Last updated
May 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 10732 PR Primary

Addresses

Primary practice location

Inst San Pablo Ste 406
Calle Santa Cruz # 66
Bayamon, PR 00961

Mailing address

Inst San Pablo Ste 406
Calle Santa Cruz # 66
Bayamon, PR 00961
Phone (787) 269-3355

Other identifiers 2

IdentifierTypeStateIssuer
88451OtherPRSSS
9590021OtherPRHUMANA

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
I20120323000496 PR Practitioner - Urology 8123122595 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Calle Santa Cruz
Bayamon, PR 00961

66 Calle Santa Cruz
Bayamon, PR 00961-7041
Phone (787) 269-3355

Inst San Pablo
406 Calle Santa Cruz 66
Bayamon, PR 00961

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1558363648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INST SAN PABLO STE 406",
            "address_2": "CALLE SANTA CRUZ # 66",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-269-3355",
            "fax_number": "787-269-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INST SAN PABLO STE 406",
            "address_2": "CALLE SANTA CRUZ # 66",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-269-3355",
            "fax_number": "787-269-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-MARTINEZ",
        "first_name": "RICARDO",
        "middle_name": "ANDRES",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "10732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "88451",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9590021",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.