Individual provider Active NPI

Jose Carlos Lopez-Puebla

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1659828473
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
21891 Issued in PR
Practice address
Upr School of Medicine Medical Science Campus
Guillermo Arbona Building
San Juan, PR 00936-5067
Phone
(787) 754-0101
NPI assigned
Sep 9, 2016
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Hematology & Oncology Physician 207RH0003X 21891 PR Primary

Addresses

Primary practice location

Upr School of Medicine Medical Science Campus
Guillermo Arbona Building
San Juan, PR 00936-5067

Mailing address

Upr School of Medicine Medical Science Campus
Guillermo Arbona Building
San Juan, PR 00936-5067

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
I20240208002198 PR Practitioner - Hematology/Oncology 8729421508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Puerto Rico School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor's Center Hematology and Oncology Group, PSCGroup PAC ID 4789765587, 6 clinicians

Practice addresses (Care Compare)

2 Carr
Manati, PR 00674
Phone (787) 621-3400

7 Carr
2 KM
Manati, PR 00674

Carr 2 KM 12
Torre B 7TH Floor Suite 701
Bayamon, PR 00959-5060
Phone (787) 395-7085

Doctors Cancer Ctr
Carr 2 KM 47.7
Manati, PR 00674

PO Box
Suite 30500
Manati, PR 00674-3050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21891PRMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hematology & Oncology Group Bayamon PSC CurrentSince Dec 25, 2023 Accepting new patients
Doctor's Center Hematology & Oncology Group, PSC CurrentSince Dec 25, 2023 Accepting new patients
Doctors Center Hematology & Oncology Group Bayamon PSC Past Accepting new patients

Locations

1995 Carr 2
Ste 2701
Bayamon, PR 00959
Phone (787) 395-7085

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1659828473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPR SCHOOL OF MEDICINE MEDICAL SCIENCE CAMPUS",
            "address_2": "GUILLERMO ARBONA BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPR SCHOOL OF MEDICINE MEDICAL SCIENCE CAMPUS",
            "address_2": "GUILLERMO ARBONA BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-754-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-PUEBLA",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "21891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.