Active NPI
Angel Luis Lopez Ruiz, M.D.
- Surgery Physician
- San Juan, PR
National Provider Identifier
1881682730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 006996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 876 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
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.
-
dba Ashford Presbyterian Community Hospital
- General Acute Care Hospital
- San Juan, PR
- NPI 1770580813
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.