Jaime David Lopez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22384 Issued in PR

Practice address

Urb Brasilia
Carr 155 KM 0.5
Vega Baja, PR 00693

Phone

(787) 855-2950

NPI assigned

Jul 30, 2020

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morovis Community Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vega Alta, PR
  • NPI 1396357802
  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1952910465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 CALLE PEDRO NATER",
            "address_2": "BO. ALGARROBO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934737",
            "telephone_number": "787-473-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB BRASILIA",
            "address_2": "CARR 155 KM 0.5",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JAIME",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2022-11-28",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lopez Rodriguez, MS
• Damaris Evelisse Lopez Serrano, RN
• Victor A Lopez-Llavona, MD
• Anna Lopez
• Benjamin Lopez, MD
• Nelson A Lopez, DSW, LCSW, PSY.D
• Paola Marie Lopez, PHARM.D.
• Sebastian Lopez, PSY D
• Cristina Lozada
• Lucristi LLC

• General Practice Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.