Individual provider Active NPI

Roberto F Lopez-Rosario, MD

  • Obstetrics & Gynecology Physician
  • Guaynabo, PR
National Provider Identifier
1841294642
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13460 Issued in PR
Practice address
Avenue Ortegon # 107
Caparra Gallery Suite 212
Guaynabo, PR 00966
Phone
(787) 707-0059
Fax
(787) 707-0068
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13460 PR Primary

Addresses

Primary practice location

Avenue Ortegon # 107
Caparra Gallery Suite 212
Guaynabo, PR 00966

Mailing address

PMB 493
PO Box 70344
San Juan, PR 00936-8344
Phone (787) 707-0059

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
I20040924000344 PR Practitioner - Obstetrics/Gynecology 1759359912

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Eduardo F. Estella, PSC Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1841294642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 493",
            "address_2": "PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-707-0059",
            "fax_number": "787-707-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENUE ORTEGON # 107",
            "address_2": "CAPARRA GALLERY SUITE 212",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-707-0059",
            "fax_number": "787-707-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-ROSARIO",
        "first_name": "ROBERTO",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "13460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.