Individual provider Active NPI

Maria M Roman Lopez, M.D.

  • Gynecology Physician
  • Caguas, PR
National Provider Identifier
1629038427
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
6351 Issued in PR
Practice address
Ave Degetau # F7
Bonneville Terrace
Caguas, PR 00725-5819
Phone
(787) 746-2880
Fax
(787) 746-9172
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 6351 PR Primary

Addresses

Primary practice location

Ave Degetau # F7
Bonneville Terrace
Caguas, PR 00725-5819

Mailing address

PO Box 7289
Caguas, PR 00726-7289
Phone (787) 746-2880

Other identifiers 1

IdentifierTypeStateIssuer
6351OtherPRLICENCIA

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
I20080314000339 PR Practitioner - Obstetrics/Gynecology 1658454509 Practice locations: Caguas, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

F7 Ave Degetau
Caguas, PR 00725

F7 Ave Degetau
Caguas, PR 00725-5839
Phone (787) 746-2880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6351PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Preven Familiar Inc. Past Accepting new patients
Centro de Cuidado Gineco Obstetrico Gynecology 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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1629038427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7289",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267289",
            "telephone_number": "787-746-2880",
            "fax_number": "787-746-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DEGETAU # F7",
            "address_2": "BONNEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255819",
            "telephone_number": "787-746-2880",
            "fax_number": "787-746-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN LOPEZ",
        "first_name": "MARIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "6351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "6351",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.