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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor House, Inc | Current |
Accepting new patients | |
| Centro Medico del Turabo Inc | Current |
Accepting new patients | |
| Centro Medico del Turabo Inc | Current |
Accepting new patients | |
| Domiciliary Care Organization of Puerto Rico | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15023 | Other | PR | LICENSE |
NPI Registry JSON
{
"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
- Life Force Chiropractors, L.L.C.
- Logus Inc
- Beverly Charleene Lopez Cancel
- Carmen Antonia Lopez Diaz
- Elsa V Lopez Ramirez
- Agustin J Lopez-Covas
- Joel Lopez-Figueroa
- Adaline Lopez
- Adela Lopez
- Betsy Lopez
All providers in Humacao, PR · Emergency Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.