Individual provider Active NPI

Jonathan Lopez Medina, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1790303121
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
021843 Issued in PR
Practice address
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone
(787) 653-6060
NPI assigned
Jul 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 021843 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184

Mailing address

Urb. Cautiva
12 Calle Almacigos
Caguas, PR 00727-3118
Phone (787) 647-0369

Other practice location 1

300 Calle Font Martelo
Humacao, PR 00791-3230
Phone (787) 434-1700

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
I20200818000094 PR Practitioner - General Practice 8224452354 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 653-6060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021843PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jul 15, 2020 Accepting new patients
JLM Medical Services LLC General Practice CurrentSince Oct 24, 2023 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Jul 15, 2020 Accepting new patients
MM Health Services, LLC. CurrentSince Oct 18, 2025 Accepting new patients
Zenith Health Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients
Dla Imaging LLC PastSince Sep 17, 2023 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

300 Calle Font Martelo
Humacao, PR 00791
Phone (787) 315-5855

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1790303121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. CAUTIVA",
            "address_2": "12 CALLE ALMACIGOS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273118",
            "telephone_number": "787-647-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Calle Font Martelo",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007913230",
            "country_code": "US",
            "telephone_number": "787-434-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ MEDINA",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.