Individual provider Active NPI

Pedro H Lopez, M.D.

  • Specialist
  • Cayey, PR
National Provider Identifier
1649492976
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7602 Issued in PR
Practice address
Calle Baldrich 28500
Cayey, PR 00736-9470
Phone
(787) 738-5946
Fax
(787) 738-5946
NPI assigned
May 3, 2007
Last updated
May 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7602 PR Primary

Addresses

Primary practice location

Calle Baldrich 28500
Cayey, PR 00736-9470

Mailing address

Calle Baldrich 28500
Cayey, PR 00736-9470
Phone (787) 738-5946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130001165 PR Order and Referring Only - PsychiatryPractitioner - Psychiatry 3678853058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7602PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1649492976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BALDRICH 28500",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369470",
            "telephone_number": "787-738-5946",
            "fax_number": "787-738-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BALDRICH 28500",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369470",
            "telephone_number": "787-738-5946",
            "fax_number": "787-738-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PEDRO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.