Individual provider Active NPI

Fernando J Lopez Rodriguez, M.D.

  • Neuroradiology Physician
  • Canovanas, PR
National Provider Identifier
1871799478
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
15360 Issued in PR
Practice address
Aa4 Calle Bauhinia
Canovanas, PR 00729-3551
Phone
(787) 954-9389
NPI assigned
Jun 21, 2007
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 15360 PR Primary
Diagnostic Radiology Physician 2085R0202X 15360 PR

Addresses

Primary practice location

Aa4 Calle Bauhinia
Canovanas, PR 00729-3551

Mailing address

100 Grand Paseo Blvd Ste 112 PMB 116
San Juan, PR 00926
Phone (787) 460-8823

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
I20080415000150 PR Practitioner - Diagnostic Radiology 0143308239 Reassigns benefits to 13 organizations
Practice locations: Canovanas, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instituto Medico del Norte IncGroup PAC ID 5597728816, shared by 2 NPIs, 6 clinicians
M and P Radiologos, LLCGroup PAC ID 1254397094, 21 clinicians
Aguada Medical Center Inc.Group PAC ID 0840462727, 4 clinicians
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

1008 Ave Americo Miranda
San Juan, PR 00921-2842
Phone (939) 231-0003

617 Manuel Pavia St
San Juan, PR 00910-8040
Phone (787) 727-5381

7200 Ave 65 Infanteria
Carolina, PR 00985-5575
Phone (787) 757-1800

Carr 115 KM
Suite 5
Aguada, PR 00602-0090
Phone (787) 589-7400

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

PO Box
Suite 372800
Cayey, PR 00737-2800

Road 2 KM 39
Centro Medico Wilma N Vazquez
Vega Baja, PR 00693-4661
Phone (787) 858-1580

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Universitarios Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Aguada Medical Center, Inc. CurrentSince Jun 5, 2025 Accepting new patients
M & P Radiologos, LLC Neuroradiology CurrentSince Mar 20, 2025 Accepting new patients
Dr Susoni Health Community Services Corp CurrentSince May 22, 2020 Accepting new patients
Varmed Health Center LLC CurrentSince Nov 9, 2023 Accepting new patients
Montehiedra CT & MRI Center LLC. Diagnostic Radiology CurrentSince Aug 13, 2025 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Apr 1, 2022 Accepting new patients
Aguada Medical Center Inc. Diagnostic Radiology CurrentSince Jun 5, 2025 Accepting new patients
Centro de Cancer de la Universidad Diagnostic Radiology CurrentSince Dec 19, 2021 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Apr 1, 2022 Accepting new patients
Hospital Menonita de Cayey Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Metrohealth Central Corporation CurrentSince Jan 31, 2020 Accepting new patients
Vega Baja Imaging LLC Diagnostic Radiology CurrentSince Nov 1, 2010 Accepting new patients
Aguada Medical Center Inc. Current Accepting new patients
Vega Baja Radiology PSC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Hospital Menonita de Cayey Current Accepting new patients
Metro Mayaguez Inc CurrentSince Feb 25, 2024 Accepting new patients
Dr Susoni Health Community Services Corp CurrentSince May 22, 2020 Accepting new patients

Locations

7200 Ave 65 Infanteria
Carolina, PR 00985

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

1008 Ave Americo Miranda
Ste 26
San Juan, PR 00921
Phone (939) 231-0003

9484 Ave Los Romeros
Ste 205
San Juan, PR 00926
Phone (787) 249-8009

500 Calle Dr Isaac Gonzalez
Utuado, PR 00641
Phone (787) 894-4208

3998 Carr 2
Vega Baja, PR 00693
Phone (787) 855-2687

3998 Carr 2
Ste 2
Vega Baja, PR 00693
Phone (787) 855-2687

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 5

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1871799478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD STE 112 PMB 116",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-460-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA4 CALLE BAUHINIA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293551",
            "telephone_number": "787-954-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RODRIGUEZ",
        "first_name": "FERNANDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "15360",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "15360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.