Consultorio Dra Idalia Pedroza Lopez LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CONSULTORIO DRA IDALIA PEDROZA LOPEZ LLC

Practice address

201 Gautier Benitez Avenue
Consolidated Medical Plaza, Suite 201
Caguas, PR 00725

Phone

(787) 743-1699

Fax

(787) 258-1517

NPI assigned

Jun 29, 2023

Last updated

Jun 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Idalia Pedroza Lopez, MDNPI 1477687564

Title

President of the Organization

Phone

(787) 743-1699

Specialties & licenses 1

Addresses

Other names 2

• CONSULTORIO DRA IDALIA PEDROZA LOPEZ LLC Former legal business name
• None Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Idalia Pedroza-Lopez, M.D.

  • Internal Medicine Physician
  • Caguas, PR
  • NPI 1477687564
  Medicare reassignment NPD Authorized official
• Jose R Viera-Vega, M.D.

  • Internal Medicine Physician
  • Caguas, PR
  • NPI 1346374402
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1912684184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6735",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266735",
            "telephone_number": "787-743-1699",
            "fax_number": "787-258-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GAUTIER BENITEZ AVENUE",
            "address_2": "CONSOLIDATED MEDICAL PLAZA, SUITE 201",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-1699",
            "fax_number": "787-258-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO DRA IDALIA PEDROZA LOPEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "PEDROZA LOPEZ",
        "authorized_official_first_name": "IDALIA",
        "authorized_official_title_or_position": "PRESIDENT OF THE ORGANIZATION",
        "authorized_official_telephone_number": "787-743-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONSULTORIO DRA IDALIA PEDROZA LOPEZ LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Consolidated Pharmacy, Inc. (Consolidated Pharmacy)
• Consolidated Radiology Complex CSP
• Carla Andrea Consuegra, RDN
• Consult Medical PR Training Center
• Consultores Cardiovasculares CSP
• Consultorio Medico DRS. Viera Y Pedroza, CSP
• Consultorio Medico Villa Blanca, PSC
• Cool Down, LLC
• Stefano Coppola-Fasick
• Coqui Ambulance Services, Inc

• Internal Medicine Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.