Individual provider Active NPI

Christopher Lopez, MD

  • General Practice Physician
  • Camuy, PR
National Provider Identifier
1861068124
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23030 Issued in PR
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

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325002811 PR Practitioner - General Practice 1052758125 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23030PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.