Individual provider Active NPI

Diego M Canabal Lopez, MD

  • Infectious Disease Physician
  • Isabela, PR
National Provider Identifier
1568922201
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
22691 Issued in PR
Practice address
353 Bo Bajuras
Isabela, PR 00662-5652
Phone
(787) 431-3589
NPI assigned
Mar 20, 2019
Last updated
Sep 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Infectious Disease Physician 207RI0200X 22691 PR Primary
General Practice Physician 208D00000X 22691 PR

Addresses

Primary practice location

353 Bo Bajuras
Isabela, PR 00662-5652

Mailing address

PO Box 286
Isabela, PR 00662-0286
Phone (787) 431-3589

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
I20251029004571 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 2668961632 Practice locations: Isabela, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 4466 Interior Bo Bajuras
Sector Kike Bravo Buzon 353
Isabela, PR 00662-5652
Phone (787) 431-3589

PO Box
Suite 286
Isabela, PR 00662-0286

RR 36 Box
Suite 6142
San Juan, PR 00926

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22691PRMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aedes Medical Healthcare LLC Infectious Disease Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1568922201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620286",
            "telephone_number": "787-431-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BO BAJURAS",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625652",
            "telephone_number": "787-431-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANABAL LOPEZ",
        "first_name": "DIEGO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "22691",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.