Individual provider Active NPI

Cristina Lopez Beauchamp, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • San Juan, PR
National Provider Identifier
1720469190
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
21201 Issued in PR
Practice address
San Juan City Hospital, Medical Center
San Juan, PR 00936-8344
Phone
(787) 480-2791
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0009X 21201 PR Primary

Addresses

Primary practice location

San Juan City Hospital, Medical Center
San Juan, PR 00936-8344

Mailing address

PO Box 3944
Mayaguez, PR 00681
Phone (787) 645-3409

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
I20200702001958 PR Practitioner - Ophthalmology 8729377809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Oftalmologico Metropolitano CSPGroup PAC ID 4587655204, 20 clinicians

Practice addresses (Care Compare)

1114 Ave Jesus T Pinero
San Juan, PR 00921-1722
Phone (787) 781-3020

1250 Ave Jesus T Pinero
San Juan, PR 00921-1616
Phone (787) 781-3020

Merit-based Incentive Payment System (MIPS)

Final score
61.01 of 100Reported as group
Quality
75.55
Promoting interoperability
0
Improvement activities
40
Cost
77.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21201PRMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Oftalmologico Metropolitano CSP Multi-Specialty CurrentSince May 29, 2020 Accepting new patients

Locations

1250 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-2565

1114 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-3020

Interoperability endpoints

  • Direct secure messaging: clopez@centofmet.direct.eyemdemr.com

Organizations & group practices 1

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1720469190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3944",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-645-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN CITY HOSPITAL, MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-480-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BEAUCHAMP",
        "first_name": "CRISTINA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PR",
            "license": "21201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.