Individual provider Active NPI

Elba Aixa Lopez, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1861670077
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17014 Issued in PR
Practice address
#47 Calle Corchado
Esquina Ruiz Belvis
Caguas, PR 00725
Phone
(787) 746-3606
Fax
(787) 744-2508
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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 17014 PR Primary

Addresses

Primary practice location

#47 Calle Corchado
Esquina Ruiz Belvis
Caguas, PR 00725

Mailing address

66 Via Miradero
Urb. Sanjuanera
Caguas, PR 00727-3095
Phone (787) 368-3345

Other practice location 1

2 Calle Munoz Rivera
Centro Medico Professional SUITE 306
Caguas, PR 00725
Phone (787) 746-3606

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
I20080909000455 PR Practitioner - General Practice 6507932902 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
San Juan Bautista School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Calle Ruiz Belvis
Caguas, PR 00725-3510
Phone (787) 746-3606

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1861670077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 VIA MIRADERO",
            "address_2": "URB. SANJUANERA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273095",
            "telephone_number": "787-368-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#47 CALLE CORCHADO",
            "address_2": "ESQUINA RUIZ BELVIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-746-3606",
            "fax_number": "787-744-2508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Calle Munoz Rivera",
            "address_2": "Centro Medico Professional SUITE 306",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-746-3606",
            "fax_number": "787-744-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELBA",
        "middle_name": "AIXA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.