Individual provider Active NPI

Jorge L Lopez Rocafort, M.D.

  • Emergency Medicine Physician
  • Humacao, PR
National Provider Identifier
1891867339
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15023 Issued in PR
Practice address
355 Ave. Font Martelo
Hospital Ryder Memorial
Humacao, PR 00791
Phone
(787) 852-0768
NPI assigned
Nov 13, 2006
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

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

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

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Domiciliary Care Organization of Puerto Rico CurrentSince Aug 3, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Mar 31, 2018 Accepting new patients
Doctor House, Inc CurrentSince Jun 1, 2020 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Mar 31, 2018 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.