Active NPI
Guillermo Lopez, PHYSICAL THERAPIST
- Physical Therapist
- San Juan, PR
National Provider Identifier
1962065235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 803
- Practice address
- 1316 Calle Denver
San Juan, PR 00920-5016 - Phone
- (787) 630-4554
- NPI assigned
- Apr 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 803 | PR | Primary |
Addresses
Primary practice location
1316 Calle Denver
San Juan, PR 00920-5016
Mailing address
1316 Calle Denver
San Juan, PR 00920-5016
Phone (787) 630-4554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1962065235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 CALLE DENVER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009205016",
"telephone_number": "787-630-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 CALLE DENVER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009205016",
"telephone_number": "787-630-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "GUILLERMO",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.