Individual provider Active NPI

Monserrate Pabon Lopez, M.D.

  • Gynecology Physician
  • Aibonito, PR
National Provider Identifier
1952347247
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
5354 Issued in PR
Practice address
64 Calle Jose C Vazquez
Aibonito, PR 00705-3308
Phone
(787) 735-1471
Fax
(787) 735-1635
NPI assigned
Jun 22, 2006
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 5354 PR Primary

Addresses

Primary practice location

64 Calle Jose C Vazquez
Aibonito, PR 00705-3308

Mailing address

PO Box 2047
Aibonito, PR 00705-2047
Phone (787) 735-1471

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
I20101208000393 PR Practitioner - Obstetrics/Gynecology 4688679442 Practice locations: Aibonito, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

64 Calle Jose C Vazquez
Aibonito, PR 00705-3308
Phone (787) 735-1471

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5354PRMDClinical Psychologist

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1952347247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2047",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052047",
            "telephone_number": "787-735-1471",
            "fax_number": "787-735-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE JOSE C VAZQUEZ",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053308",
            "telephone_number": "787-735-1471",
            "fax_number": "787-735-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON LOPEZ",
        "first_name": "MONSERRATE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "5354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.