Active NPI
Benjamin Lopez
- Psychologist
- Mayaguez, PR
National Provider Identifier
1740722685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5686
- Practice address
- Carr 2 KM 157
Bo Sabalos Centro Medico Mayaguez
Mayaguez, PR 00680 - Phone
- (787) 763-7575
- NPI assigned
- Nov 9, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5686 | PR | Primary |
Addresses
Primary practice location
Carr 2 KM 157
Bo Sabalos Centro Medico Mayaguez
Mayaguez, PR 00680
Mailing address
Carr No. 2 KM 8.2 Bo. Juan Sanchez
Antiguo Mepsi Center
Bayamon, PR 00960-7087
Phone (787) 763-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5686 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1740722685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR NO. 2 KM 8.2 BO. JUAN SANCHEZ",
"address_2": "ANTIGUO MEPSI CENTER",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009607087",
"telephone_number": "787-763-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 2 KM 157",
"address_2": "BO SABALOS CENTRO MEDICO MAYAGUEZ",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-763-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.