Individual provider Active NPI

Jose E Lozada, M.D.

  • Gynecology Physician
  • Carolina, PR
National Provider Identifier
1720063050
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
5838 Issued in PR
Practice address
3K S9 Villa Fontana
Via Mirta
Carolina, PR 00983
Phone
(787) 769-5016
Fax
(787) 276-7045
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 5838 PR Primary

Addresses

Primary practice location

3K S9 Villa Fontana
Via Mirta
Carolina, PR 00983

Mailing address

3K S9 Villa Fontana
Via Mirta
Carolina, PR 00983
Phone (787) 769-5016

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
I20121004000359 PR Practitioner - Obstetrics/Gynecology 3577712629 Practice locations: Carolina, PR; Corozal, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3 K-S9 Villa Fontana Via Mirta
Carolina, PR 00983

KS9 Via Mirta
Carolina, PR 00983
Phone (787) 769-5016

Villa Fontana 3 KS 9 Via Mirta
Carolina, PR 00983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5838PRMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1720063050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3K S9 VILLA FONTANA",
            "address_2": "VIA MIRTA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-769-5016",
            "fax_number": "787-276-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3K S9 VILLA FONTANA",
            "address_2": "VIA MIRTA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-769-5016",
            "fax_number": "787-276-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZADA",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.