Active NPI
Miguel Angel Santos Lopez, MD
- General Practice Physician
- Ponce, PR
National Provider Identifier
1588143671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23748
- Practice address
- 917 Ave Tito Castro
Ponce, PR 00716-4717 - Phone
- (787) 844-2080
- NPI assigned
- Aug 9, 2018
- Last updated
- May 5, 2024
- 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 Physician | 208D00000X | 23748 | PR | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Ponce, PR 00716-4717
Mailing address
4 Calle Tauro
Vega Baja, PR 00693-3291
Phone (787) 904-2181
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23748 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714867200000",
"number": "1588143671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CALLE TAURO",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006933291",
"telephone_number": "787-904-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVE TITO CASTRO",
"city": "PONCE",
"state": "PR",
"postal_code": "007164717",
"telephone_number": "787-844-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS LOPEZ",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-09",
"last_updated": "2024-05-05",
"certification_date": "2024-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.