Individual provider Active NPI

Lionel Fernandez-Lopez, MD

  • Otolaryngology Physician
  • Guaynabo, PR
National Provider Identifier
1922082445
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
7851 Issued in PR
Practice address
5 Calle Crisalida
Urb. Munoz Rivera
Guaynabo, PR 00969-3609
Phone
(787) 720-5238
Fax
(787) 272-0824
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 7851 PR Primary

Addresses

Primary practice location

5 Calle Crisalida
Urb. Munoz Rivera
Guaynabo, PR 00969-3609

Mailing address

Urb. la Colina
Street B #29
Guaynabo, PR 00969-3261
Phone (787) 720-5222

Other identifiers 1

IdentifierTypeStateIssuer
7851OtherPRP.R. MEDICAL LICENSE #

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
I20050615000295 PR Practitioner - Otolaryngology 9335183870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gbo Oto Group PSCGroup PAC ID 3476822578, 2 clinicians
Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

2 Calle Crisalida
Guaynabo, PR 00969-3606
Phone (787) 720-5222

Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7851PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gbo Oto Group PSC. Otolaryngology CurrentSince May 3, 2017 Accepting new patients

Locations

2 Calle Crisalida
Guaynabo, PR 00969
Phone (787) 447-3343

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1922082445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA COLINA",
            "address_2": "STREET B #29",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693261",
            "telephone_number": "787-720-5222",
            "fax_number": "787-789-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE CRISALIDA",
            "address_2": "URB. MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693609",
            "telephone_number": "787-720-5238",
            "fax_number": "787-272-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-LOPEZ",
        "first_name": "LIONEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "7851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.R. MEDICAL LICENSE #",
            "identifier": "7851",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.