Active NPI
Lizzette Lopez
- Physical Therapist
- Camuy, PR
National Provider Identifier
1558732487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1058-1
- Practice address
- H69 Calle 8
Urb del Carmen
Camuy, PR 00627 - Phone
- (787) 560-0724
- NPI assigned
- Oct 19, 2015
- Last updated
- Oct 19, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1058-1 | PR | Primary |
Addresses
Primary practice location
H69 Calle 8
Urb del Carmen
Camuy, PR 00627
Mailing address
H69 Calle 8
Urb del Carmen
Camuy, PR 00627
Phone (787) 560-0724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1058-1 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc | Current | Accepting new patients | |
| Aos Peds Rehab, LLC | Past | Accepting new patients | |
| Lizzette Lopez Rodriguez | Past | Accepting new patients |
Locations
500 Calle Baez
San Juan, PR 00917
Phone 787767671067
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ser de Puerto Rico
- Physical Medicine & Rehabilitation Physician
- San Juan, PR
- NPI 1356388532
-
- Physical Therapy Clinic/Center
- Camuy, PR
- NPI 1467822189
-
- Rehabilitation Practitioner
- San Juan, PR
- NPI 1245097120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1558732487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "H69 CALLE 8",
"address_2": "URB DEL CARMEN",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-560-0724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "H69 CALLE 8",
"address_2": "URB DEL CARMEN",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-560-0724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LIZZETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1058-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.