Individual provider Active NPI

Luz Nereida Lopez, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1821047606
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9065 Issued in PR
Practice address
Lopez Bonet Medical Clinic
927 Sanchez Vilella Ave., Country Club
San Juan, PR 00924-3420
Phone
(787) 757-6617
Fax
(787) 757-6617
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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 9065 PR Primary

Addresses

Primary practice location

Lopez Bonet Medical Clinic
927 Sanchez Vilella Ave., Country Club
San Juan, PR 00924-3420

Mailing address

Lopez Bonet Medical Clinic
927 Sanchez Vilella Ave., Country Club
San Juan, PR 00924-3420
Phone (787) 757-6617

Other identifiers 6

IdentifierTypeStateIssuer
060275OtherPRCRUZ AZUL
011-8419OtherPRAACA
201577OtherPRPREFERRED HEALTH
81921OtherPRTRIPLES
PG2635OtherPALIC
660522569009240000OtherPRCHAMPUS

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
I20101209001040 PR Practitioner - General Practice 9931396447 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

927 Ave Campo Rico Country Club
San Juan, PR 00924
Phone (787) 757-6617

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1821047606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOPEZ BONET MEDICAL CLINIC",
            "address_2": "927 SANCHEZ VILELLA AVE., COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243420",
            "telephone_number": "787-757-6617",
            "fax_number": "787-757-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOPEZ BONET MEDICAL CLINIC",
            "address_2": "927 SANCHEZ VILELLA AVE., COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243420",
            "telephone_number": "787-757-6617",
            "fax_number": "787-757-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LUZ",
        "middle_name": "NEREIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "060275",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AACA",
            "identifier": "011-8419",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "201577",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLES",
            "identifier": "81921",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PG2635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "660522569009240000",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.