Individual provider Active NPI

Angel Luis Lopez Ruiz, M.D.

  • Surgery Physician
  • San Juan, PR
National Provider Identifier
1881682730
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
006996 Issued in PR
Practice address
29 Washington St
Suite 205
San Juan, PR 00907-1509
Phone
(787) 722-6795
Fax
(787) 723-1205
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6996 PR
Surgery Physician 208600000X 006996 PR Primary

Addresses

Primary practice location

29 Washington St
Suite 205
San Juan, PR 00907-1509

Mailing address

29 Washington St
Suite 205
San Juan, PR 00907-1509
Phone (787) 722-6795

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
I20101022001256 PR Practitioner - General Surgery 7810180767 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Puerto Rico School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29 Calle Washington
San Juan, PR 00907-1509
Phone (787) 722-6795

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue876
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1881682730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071509",
            "telephone_number": "787-722-6795",
            "fax_number": "787-723-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071509",
            "telephone_number": "787-722-6795",
            "fax_number": "787-723-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RUIZ",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "6996",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "006996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.