Individual provider Active NPI

Vanessa E Raices Lopez, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1598854416
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14909 Issued in PR
Practice address
Urb Garcia
60 Calle Trina Padilla
Arecibo, PR 00612-0000
Phone
(787) 878-6089
Fax
(787) 878-6089
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14909 PR Primary

Addresses

Primary practice location

Urb Garcia
60 Calle Trina Padilla
Arecibo, PR 00612-0000

Mailing address

Urb Lugardo a 10
Arecibo, PR 00612-0000
Phone (787) 878-6089

Other identifiers 11

IdentifierTypeStateIssuer
11914909OtherPRGLOBAL HEALTH PLAN
6120199OtherPRHUMANA PLAN
3114909OtherPRUIA PLAN
1840OtherPRPMC PLAN
2011058OtherPRPREFERRED HEALTH PLAN
21844RAOtherPRSSS PLAN
04121AOtherPRAMERICAN HEALTH PLAN
100294OtherPRCRUZ AZUL PLAN
P791OtherPRFIRST MEDICAL PLAN
100160OtherPRMMM PLAN
PG4725OtherPRPALIC PLAN

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
I20040209000896 PR Practitioner - General Practice 6608760905 Practice locations: Arecibo, PR

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598854416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LUGARDO A 10",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120000",
            "telephone_number": "787-878-6089",
            "fax_number": "787-878-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB GARCIA",
            "address_2": "60 CALLE TRINA PADILLA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120000",
            "telephone_number": "787-878-6089",
            "fax_number": "787-878-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAICES LOPEZ",
        "first_name": "VANESSA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH PLAN",
            "identifier": "11914909",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PLAN",
            "identifier": "6120199",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA PLAN",
            "identifier": "3114909",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PLAN",
            "identifier": "1840",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PLAN",
            "identifier": "2011058",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PLAN",
            "identifier": "21844RA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH PLAN",
            "identifier": "04121A",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PLAN",
            "identifier": "100294",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL PLAN",
            "identifier": "P791",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PLAN",
            "identifier": "100160",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC PLAN",
            "identifier": "PG4725",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.