Individual provider Active NPI

Luis Manuel Lopez Baquero, MD

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1609534841
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22907 Issued in PR
Practice address
Urb El Torito Calle 6 D 32
Cayey, PR 00736-4826
Phone
(762) 240-8909
NPI assigned
Dec 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15809I PR
General Practice Physician 208D00000X 22907 PR Primary

Addresses

Primary practice location

Urb El Torito Calle 6 D 32
Cayey, PR 00736-4826

Mailing address

Urb El Torito Calle 6 D 32
Cayey, PR 00736-4826
Phone (787) 362-7717

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
I20220930000932 PR Practitioner - General Practice 9830575737 Reassigns benefits to 1 organization
Practice locations: Cayey, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15809IPRMDGeneral Practice Physician
22907PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc General Practice CurrentSince Sep 12, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 12, 2022 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

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.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1609534841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL TORITO CALLE 6 D 32",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364826",
            "telephone_number": "787-362-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB EL TORITO CALLE 6 D 32",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364826",
            "telephone_number": "762-240-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BAQUERO",
        "first_name": "LUIS",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-07-26",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15809I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.