Active NPI
Mario R. Lopez, MD
- Infectious Disease Physician
- Carolina, PR
National Provider Identifier
1952355968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 18378
- Practice address
- 116-1 Calle 74
Villa Carolina
Carolina, PR 00985-4117 - Phone
- (787) 402-9031
- Fax
- (866) 396-9013
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME 75291 | FL | |
| Infectious Disease Physician | 207RI0200X | 18378 | PR | Primary |
Addresses
Primary practice location
116-1 Calle 74
Villa Carolina
Carolina, PR 00985-4117
Mailing address
116-1 Calle 74
Villa Carolina
Carolina, PR 00985-4117
Phone (787) 402-9031
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18378 | Other | PR | MEDICAL LICENSE |
| ME 75291 | Other | FL | ME NUMBER |
| 259930900 | Medicaid | FL |
Other names 1
- Dr. Mario R. Lopez-Cabrera
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160406001687 | PR | Practitioner - Internal Medicine | 6406868348 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Id Associates of Broward PA | Infectious Disease | Past | Accepting new patients |
| Id Professionals of South Florida LLC | Infectious Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Hialeah, FL
- NPI 1174560619
-
- Infectious Disease Physician
- Tamarac, FL
- NPI 1396887188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1952355968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116-1 CALLE 74",
"address_2": "VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009854117",
"telephone_number": "787-402-9031",
"fax_number": "866-396-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116-1 CALLE 74",
"address_2": "VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009854117",
"telephone_number": "787-402-9031",
"fax_number": "866-396-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MARIO",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME 75291",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PR",
"license": "18378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "18378",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME NUMBER",
"identifier": "ME 75291",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "259930900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIO",
"last_name": "LOPEZ-CABRERA",
"middle_name": "R.",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.