Individual provider Active NPI

Sergio R Lopez del Pozo, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1679686091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7564 Issued in PR
Practice address
8169 Calle Concordia
Suite 312
Ponce, PR 00717-1563
Phone
(787) 841-2777
Fax
(787) 848-0007
NPI assigned
Aug 17, 2006
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
Internal Medicine Physician 207R00000X 7564 PR Primary

Addresses

Primary practice location

8169 Calle Concordia
Suite 312
Ponce, PR 00717-1563

Mailing address

8169 Calle Concordia
Suite 312
Ponce, PR 00717-1563
Phone (787) 841-2777

Other identifiers 2

IdentifierTypeStateIssuer
0081480DOtherMEDICARE PRHC
0081479BOtherMEDICARE SHCE

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
I20050606000561 PR Practitioner - Internal Medicine 7416990015 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7564PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Health Care Group, Inc. Internal Medicine CurrentSince Feb 9, 2018 Accepting new patients
Puerto Rico Health Care Group Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sergio.lopezdelpozo@3479.securemail.prognocis.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679686091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "SUITE 312",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171563",
            "telephone_number": "787-841-2777",
            "fax_number": "787-848-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "SUITE 312",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171563",
            "telephone_number": "787-841-2777",
            "fax_number": "787-848-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DEL POZO",
        "first_name": "SERGIO",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PRHC",
            "identifier": "0081480D",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SHCE",
            "identifier": "0081479B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.