Active NPI
Christopher Lopez, MD
- General Practice Physician
- Camuy, PR
National Provider Identifier
1861068124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23030
- Practice address
- Carr. 113 KM. 8.9 Bo. Piedra Gorda
Camuy, PR 00627-0062 - Phone
- (939) 454-2127
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 23030 | PR | Primary |
Addresses
Primary practice location
Carr. 113 KM. 8.9 Bo. Piedra Gorda
Camuy, PR 00627-0062
Mailing address
HC 6 Box 65174
Camuy, PR 00627-9032
Phone (787) 393-6794
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23030 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Emergency Physicians, PSC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Arecibo, PR
- NPI 1245775089
-
- Emergency Medicine Physician
- Arecibo, PR
- NPI 1285980052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1861068124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 6 BOX 65174",
"city": "CAMUY",
"state": "PR",
"postal_code": "006279032",
"telephone_number": "787-393-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 113 KM. 8.9 BO. PIEDRA GORDA",
"city": "CAMUY",
"state": "PR",
"postal_code": "006270062",
"telephone_number": "939-454-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2022-10-07",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.