Active NPI
Michelle Lopez Lopez, M.D
- Adult Medicine Physician
- Carolina, PR
National Provider Identifier
1831128420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 15624
- Practice address
- 37-19 Calle 36
Carolina, PR 00985-5502 - Phone
- (787) 768-4993
- Fax
- (787) 768-0040
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 15624 | PR | Primary |
Addresses
Primary practice location
37-19 Calle 36
Carolina, PR 00985-5502
Mailing address
67St 119#29
Villa Carolina
Carolina, PR 00985-5322
Phone (787) 701-0850
Other practice location 1
fernandez juncos st .edificio vanessa
B-5
carolina, PR 00985
Phone (787) 768-4993
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 |
|---|---|---|---|---|
| I20050627000032 | PR | Practitioner - General Practice | 3173568524 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15624 | PR | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831128420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67ST 119#29",
"address_2": "VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009855322",
"telephone_number": "787-701-0850",
"fax_number": "787-768-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37-19 CALLE 36",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009855502",
"telephone_number": "787-768-4993",
"fax_number": "787-768-0040"
}
],
"practiceLocations": [
{
"address_1": "fernandez juncos st .edificio vanessa",
"address_2": "B-5",
"address_purpose": "LOCATION",
"city": "carolina",
"state": "PR",
"postal_code": "00985",
"country_code": "US",
"telephone_number": "787-768-4993",
"fax_number": "787-768-0040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ LOPEZ",
"first_name": "MICHELLE",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "PR",
"license": "15624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.