Individual provider Active NPI

Jonathan Lopez Oliver, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1922327089
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17926 Issued in PR
Practice address
1282 Calle 50 SE
La Riviera
San Juan, PR 00921-3145
Phone
(787) 463-4591
NPI assigned
May 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17926 PR Primary

Addresses

Primary practice location

1282 Calle 50 SE
La Riviera
San Juan, PR 00921-3145

Mailing address

1282 Calle 50 SE
La Riviera
San Juan, PR 00921-3145
Phone (787) 463-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101029001106 PR Practitioner - General Practice 4789878109 Practice locations: San Juan, PR
I20170711003433 FL Practitioner - General Practice 4789878109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncorporatedGroup PAC ID 7214849520, 29 clinicians

Practice addresses (Care Compare)

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-8371

306 Union Ave
Crescent City, FL 32112-4432
Phone (386) 698-1232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17926PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care Incorporated CurrentSince May 19, 2021 Accepting new patients
Rural Health Care Incorporated General Practice Current Accepting new patients
Rural Health Care, Inc. CurrentSince May 19, 2021 Accepting new patients

Locations

306 Union Ave
Crescent City, FL 32112
Phone (386) 698-1232

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

Interoperability endpoints

  • Direct secure messaging: jonathan.lopezolivermd.p1@direct.azahealth.nextgenshare.com

Organizations & group practices 3

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1922327089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 CALLE 50 SE",
            "address_2": "LA RIVIERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213145",
            "telephone_number": "787-463-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 CALLE 50 SE",
            "address_2": "LA RIVIERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213145",
            "telephone_number": "787-463-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ OLIVER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.