Active NPI
Pedro Torres Lopez, MD
- General Practice Physician
- Ceiba, PR
National Provider Identifier
1730119165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16041
- Practice address
- Mango Beach St Num 111
The Village at the Hill
Ceiba, PR 00735 - Phone
- (787) 361-0131
- Fax
- (787) 737-0244
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16041 | PR | Primary |
Addresses
Primary practice location
Mango Beach St Num 111
The Village at the Hill
Ceiba, PR 00735
Mailing address
Mango Beach St Num 111
The Village at the Hill
Ceiba, PR 00735
Phone (787) 361-0131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
dba Clarence Wesley Health Center
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730119165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MANGO BEACH ST NUM 111",
"address_2": "THE VILLAGE AT THE HILL",
"city": "CEIBA",
"state": "PR",
"postal_code": "00735",
"telephone_number": "787-361-0131",
"fax_number": "787-737-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MANGO BEACH ST NUM 111",
"address_2": "THE VILLAGE AT THE HILL",
"city": "CEIBA",
"state": "PR",
"postal_code": "00735",
"telephone_number": "787-361-0131",
"fax_number": "787-737-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES LOPEZ",
"first_name": "PEDRO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.