Individual provider Active NPI

Luis Antonio Lopez Galarza, M.D

  • Vascular Surgery Physician
  • Manati, PR
National Provider Identifier
1770624116
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
19939 Issued in AZ
Practice address
Edificio Pedro Blanco Lugo 200
Suite 204
Manati, PR 00674
Phone
(787) 884-4744
Fax
(787) 621-3319
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6725 PR
Vascular Surgery Physician 2086S0129X 19939 AZ Primary

Addresses

Primary practice location

Edificio Pedro Blanco Lugo 200
Suite 204
Manati, PR 00674

Mailing address

PO Box 1069
Manati, PR 00674-1069
Phone (787) 884-6195

Other identifiers 4

IdentifierTypeStateIssuer
28414OtherPRTRIPLE S
3580OtherPRPREFFERED MEDICARE CHOICE
990881OtherPRMEDICARE Y MUCHO MAS
28414MedicaidPR

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
I20101109001392 PR Practitioner - Vascular SurgeryPractitioner - General Surgery 0244425809 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1069 PO Box
Manati, PR 00674

Carretera 2 KM
Suite 7
Manati, PR 00674
Phone 78762133221902

PO Box
Manati, PR 00674

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)108
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6725PRMDSurgery Physician
19939AZMDVascular Surgery Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770624116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741069",
            "telephone_number": "787-884-6195",
            "fax_number": "787-884-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PEDRO BLANCO LUGO 200",
            "address_2": "SUITE 204",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-4744",
            "fax_number": "787-621-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GALARZA",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "6725",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "19939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "28414",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED MEDICARE CHOICE",
            "identifier": "3580",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "990881",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28414",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.