Individual provider Active NPI

Pedro Antonio Lopez Munoz

  • General Practice Physician
  • Lares, PR
National Provider Identifier
1659086197
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23802 Issued in PR
Practice address
Urbanizacion Montebello
Calle 23 de Sept #97
Lares, PR 00669
Phone
(939) 285-1774
NPI assigned
Jan 19, 2023
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 16475-I PR
General Practice Physician 208D00000X 23802 PR Primary

Addresses

Primary practice location

Urbanizacion Montebello
Calle 23 de Sept #97
Lares, PR 00669

Mailing address

Urbanizacion Altamira Buzon 85
Lares, PR 00669
Phone (939) 285-1774

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

LicenseStateTypeSpecialty
16475-IPRMDPublic Health & General Preventive Medicine Physician
23802PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1659086197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION ALTAMIRA BUZON 85",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "939-285-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION MONTEBELLO",
            "address_2": "CALLE 23 DE SEPT #97",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "939-285-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MUNOZ",
        "first_name": "PEDRO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "16475-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.