Roberto Lopez-Nieves, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

9513 Issued in PR

Practice address

Carr.189 Ramal 933 Interior 0.9
Barrio Mamey LL
Gurabo, PR 00778-8824

Phone

(787) 354-2452

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1770511131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC-4 BOX 18698",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007788824",
            "telephone_number": "787-354-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.189 RAMAL 933 INTERIOR 0.9",
            "address_2": "BARRIO MAMEY LL",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007788824",
            "telephone_number": "787-354-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-NIEVES",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "9513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linde Puerto Rico B.V
• Little Angels Pediatric Group PSC
• Maria M Lizardi Lopez, PH.D.
• Gloria I Lopez Pena, M.D
• Natalia M Lopez Vazquez, DC
• Carla Alejandra Lopez-Perez, DPT
• Idalia Diaz Lopez, RPH
• Lottica Inc
• Luciano Transport LLC
• Nelida Luna, R.PH.

• Geriatric Medicine (Family Medicine) Physician in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Geriatric Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.

Verify at the official NPI Registry.