Active NPI
Carla Sofia Basden Lopez, SRNA
- Student in an Organized Health Care Education/Training Program
- Toa Baja, PR
National Provider Identifier
1609655752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 91566
- Practice address
- B1 Calle Marina
Toa Baja, PR 00949-4526 - Phone
- (787) 388-5553
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 91566 | PR | Primary |
Addresses
Primary practice location
B1 Calle Marina
Toa Baja, PR 00949-4526
Mailing address
PO Box 365067
San Juan, PR 00936-5067
Phone (787) 388-5553
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91566 | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1609655752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365067",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-388-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B1 CALLE MARINA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494526",
"telephone_number": "787-388-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASDEN LOPEZ",
"first_name": "CARLA",
"middle_name": "SOFIA",
"credential": "SRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "91566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.