Active NPI
Luis Antonio Lopez Galarza, M.D
- Vascular Surgery Physician
- Manati, PR
National Provider Identifier
1770624116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 19939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28414 | Other | PR | TRIPLE S |
| 3580 | Other | PR | PREFFERED MEDICARE CHOICE |
| 990881 | Other | PR | MEDICARE Y MUCHO MAS |
| 28414 | Medicaid | PR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101109001392 | PR | Practitioner - Vascular Surgery | 0244425809 | Practice locations: Manati, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 108 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6725 | PR | MD | Surgery Physician |
| 19939 | AZ | MD | Vascular Surgery Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manati, PR
- NPI 1861494163
-
- General Acute Care Hospital
- Manati, PR
- NPI 1376605170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.