Jorge L Lopez Rocafort, M.D.

Individual provider Active NPI Emergency Medicine Physician · Humacao, PR

NPI 1891867339 · NPPES record last updated Nov 18, 2013

Key facts

NPI
1891867339
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
15023 (PR)
Practice address
355 Ave. Font Martelo
Hospital Ryder Memorial
Humacao, PR 00791
Phone
(787) 852-0768
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 6

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070516000212 PR Practitioner - Emergency Medicine 7214034826 Reassigns benefits to 4 organizations
Practice locations: Juncos, PR

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor House, Inc Current
since Jun 1, 2020
Accepting new patients
Centro Medico del Turabo Inc Current
since Mar 31, 2018
Accepting new patients
Centro Medico del Turabo Inc Current
since Mar 31, 2018
Accepting new patients
Domiciliary Care Organization of Puerto Rico Current
since Aug 3, 2022
Accepting new patients
San Juan Bautista Medical Center Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

49 Calle Munoz Rivera
Juncos, PR 00777
Phone (787) 561-0107

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15023 PR Yes

Addresses

Primary practice location

355 Ave. Font Martelo
Hospital Ryder Memorial
Humacao, PR 00791

Mailing address

168 Calle Cundiamor
Ciudad Jardin
Gurabo, PR 00778-9720
Phone (787) 646-8768

Other identifiers

IdentifierTypeStateIssuer
15023OtherPRLICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2013.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1891867339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CALLE CUNDIAMOR",
            "address_2": "CIUDAD JARDIN",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789720",
            "telephone_number": "787-646-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 AVE. FONT MARTELO",
            "address_2": "HOSPITAL RYDER MEMORIAL",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ROCAFORT",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "15023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15023",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

All providers in Humacao, PR · Emergency Medicine Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.