Individual provider Active NPI

Carlos Juan Perez Lopez, MD

  • Infectious Disease Physician
  • Guaynabo, PR
National Provider Identifier
1861810012
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
21203 Issued in PR
Practice address
V4 Monte del Estado
Urb. Colinas Metropolitanas
Guaynabo, PR 00969
Phone
(787) 396-6283
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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
Infectious Disease Physician 207RI0200X 21203 PR Primary

Addresses

Primary practice location

V4 Monte del Estado
Urb. Colinas Metropolitanas
Guaynabo, PR 00969

Mailing address

V4 Monte del Estado
Urb. Colinas Metropolitanas
Guaynabo, PR 00969
Phone (787) 396-6283

Other practice location 1

10 Casia Street
VA Caribbean Healthcare System
San Juan, PR 00921-3201
Phone (787) 641-7582 ext. 11081

Other practice location 2

Tampa General Circle G323
Tampa, FL 33606
Phone (787) 396-6283

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
I20200929000309 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 4183043995 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Ave Juan Ponce de Leon
Hato Rey Central
San Juan, PR 00919
Phone (787) 396-6283

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: carlos.perezlopez@auxiliomutuo.ikm.direct-ci.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1861810012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "V4 MONTE DEL ESTADO",
            "address_2": "URB. COLINAS METROPOLITANAS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-396-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "V4 MONTE DEL ESTADO",
            "address_2": "URB. COLINAS METROPOLITANAS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-396-6283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Casia Street",
            "address_2": "VA Caribbean Healthcare System",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213201",
            "country_code": "US",
            "telephone_number": "787-641-7582 x11081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Tampa General Circle G323",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33606",
            "country_code": "US",
            "telephone_number": "787-396-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ LOPEZ",
        "first_name": "CARLOS",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "21203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.