Individual provider Active NPI

Jorge Lopez, RN

  • Registered Nurse
  • Roma, TX
National Provider Identifier
1639712862
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
760304 Issued in TX
Practice address
4902 W Highway 83
Ste 2
Roma, TX 78584-7858
Phone
(956) 519-3227
NPI assigned
Oct 21, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 760304 TX Primary

Addresses

Primary practice location

4902 W Highway 83
Ste 2
Roma, TX 78584-7858

Mailing address

258 East Las Palmas
La Grulla, TX 78548
Phone (956) 437-7911

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
760304TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caridad Healthcare Inc CurrentSince Oct 27, 2019 Accepting new patients
Caridad Healthcare Inc CurrentSince Jan 12, 2020 Accepting new patients

Locations

4902 W Highway 83
Apt 2
Roma, TX 78584
Phone (956) 519-3227

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1639712862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 EAST LAS PALMAS",
            "city": "LA GRULLA",
            "state": "TX",
            "postal_code": "78548",
            "telephone_number": "956-437-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 W HIGHWAY 83",
            "address_2": "STE 2",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785847858",
            "telephone_number": "956-519-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JORGE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "760304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.