Individual provider Active NPI

Raul E Lopez Verge, MD

  • Ophthalmology Physician
  • Aguadilla, PR
National Provider Identifier
1780687962
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14569 Issued in PR
Practice address
0.3 Carr 110
Ceiba Baja
Aguadilla, PR 00603
Phone
(787) 882-0592
Fax
(787) 882-0562
NPI assigned
May 23, 2005
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14569 PR Primary

Addresses

Primary practice location

0.3 Carr 110
Ceiba Baja
Aguadilla, PR 00603

Mailing address

PO Box 864
San Antonio, PR 00690-0864
Phone (787) 882-0592

Other identifiers 1

IdentifierTypeStateIssuer
263896563MedicaidPR

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
I20061016000521 PR Practitioner - Ophthalmology 0143226076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 107 KM
Aguadilla, PR 00603
Phone (787) 882-0592

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14569PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Oftalmologico Lopez, PSC Ophthalmology CurrentSince Jan 8, 2014 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients
Eye Land Optical Inc Past Accepting new patients
Greenville Health System Past Accepting new patients
Greenville Hospital System Partners in Health, Inc Past Accepting new patients
Carolina's Eye Care, P.a. Ophthalmology Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1780687962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900864",
            "telephone_number": "787-882-0592",
            "fax_number": "787-882-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0.3 CARR 110",
            "address_2": "CEIBA BAJA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-0592",
            "fax_number": "787-882-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VERGE",
        "first_name": "RAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "14569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263896563",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.