Nanyvette Torres Lopez, MD

Individual provider Active NPI General Practice Physician · San German, PR

NPI 1619609690 · NPPES record last updated Aug 2, 2022

Key facts

NPI
1619609690
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
22881 (PR)
Practice address
8 Calle Javilla
San German, PR 00683-4102
Phone
(787) 892-5300
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230307002109 PR Practitioner - General Practice 5092188359 Reassigns benefits to 1 organization
Practice locations: Lajas, PR

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
NRTL Healthcare, LLC General Practice Current
since Mar 9, 2024
Accepting new patients

Locations

33 Calle Amistad
Lajas, PR 00667
Phone (787) 827-9797

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22881 PR Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

8 Calle Javilla
San German, PR 00683-4102

Mailing address

PO Box 1232
San German, PR 00683-1232
Phone (787) 552-2369

Other providers in San German, PR

All providers in San German, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.