Active NPI
Edwin Miguel Lopez, PHD
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1598904914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3253
- Practice address
- Urb. Bairoa 32a Street
Bloq. Aj1
Caguas, PR 00725-0000 - Phone
- (787) 636-2435
- NPI assigned
- Feb 9, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3253 | PR | Primary |
Addresses
Primary practice location
Urb. Bairoa 32a Street
Bloq. Aj1
Caguas, PR 00725-0000
Mailing address
Urb. Bairoa 32a Street
Bloq. Aj1
Caguas, PR 00725-0000
Phone (787) 636-2435
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
D12 Calle Mis Amores
Caguas, PR 00725-5821
Phone (787) 930-3144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Psicologico Ilo, Inc. | Clinical | Current | Accepting new patients |
| Centro Psicologico Ilo SE LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Caguas, PR
- NPI 1902239114
Clinical
-
- Clinical Psychologist
- Canovanas, PR
- NPI 1427731538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1598904914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. BAIROA 32A STREET",
"address_2": "BLOQ. AJ1",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007250000",
"telephone_number": "787-636-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. BAIROA 32A STREET",
"address_2": "BLOQ. AJ1",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007250000",
"telephone_number": "787-636-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "EDWIN",
"middle_name": "MIGUEL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "3253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.