Individual provider Active NPI

Reynold E Lopez, MD

  • Surgical Oncology Physician
  • San Juan, PR
National Provider Identifier
1669458618
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
4033 Issued in PR
Practice address
431 Ponce de Leon Ave
Suite 328
San Juan, PR 00917-3418
Phone
(787) 281-3838
Fax
(787) 281-0124
NPI assigned
Dec 21, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 4033 PR Primary

Addresses

Primary practice location

431 Ponce de Leon Ave
Suite 328
San Juan, PR 00917-3418

Mailing address

431 Ponce de Leon Ave
Suite 328
San Juan, PR 00917-3418
Phone (787) 281-3838

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
I20070831000006 PR Practitioner - Surgical OncologyPractitioner - General Surgery 1658464011 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of Puerto Rico School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Bo Monacillos
Centro Medico de Puerto Rico
Rio Piedras, PR 00935

Hospital Oncologico
Centro Medico
San Juan, PR 00935-0001
Phone 78775825251522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4033PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 16, 2012 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas Surgical Oncology CurrentSince Feb 3, 2022 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 16, 2012 Accepting new patients
Liga Puertorriquena Contra El Cancer Past Accepting new patients
Administracion de Servicios Medicos de Puerto Rico Past Accepting new patients

Locations

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

BO Monacillos Centro Medico De Puerto Rico
San Juan, PR 00935
Phone (781) 763-4149

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Hospital Oncologico
San Juan, PR 00935
Phone (787) 764-4215

Interoperability endpoints

  • Direct secure messaging: sjcrlopez@yourcarecommunity.org

Organizations & group practices 7

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669458618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 PONCE DE LEON AVE",
            "address_2": "SUITE 328",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173418",
            "telephone_number": "787-281-3838",
            "fax_number": "787-281-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PONCE DE LEON AVE",
            "address_2": "SUITE 328",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173418",
            "telephone_number": "787-281-3838",
            "fax_number": "787-281-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "REYNOLD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "4033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.