Active NPI
Gabriel Jose Perez Lopez, MD
- Family Medicine Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21853
- Practice address
- Calle 42 SE 1010
Reparto Metropolitano
San Juan, PR 00921 - Phone
- (787) 595-8337
- Fax
- (787) 754-9501
- NPI assigned
- Apr 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 21853 | PR | Primary |
| General Practice Physician | 208D00000X | 21853 | PR |
Addresses
Primary practice location
Calle 42 SE 1010
Reparto Metropolitano
San Juan, PR 00921
Mailing address
Calle 42 SE 1010
Reparto Metropolitano
San Juan, PR 00921
Phone (787) 595-8337
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- San Juan Bautista School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1010 Calle 42 SE
San Juan, PR 00921-2720
Phone (787) 595-8337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21853 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Medicina Familiar Especializada C.S.P. | Family Medicine | Current | Accepting new patients |
| Doctor Perez Medicina de Familia LLC | Family Medicine | Current | Accepting new patients |
| Hope Med PSC | Current | Accepting new patients |
Locations
10 Ave Miguel Melendez Munoz
Cayey, PR 00736
Phone (787) 263-3138
1010 Calle 42 SE
San Juan, PR 00921
Phone (787) 595-8337
1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101
Interoperability endpoints
- gabriel.perez-lopez@492616591605764.direct.elationemr.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.
-
- Family Medicine Physician
- Cayey, PR
- NPI 1922430958
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1265003198
-
- Family Medicine Physician
- San Juan, PR
- NPI 1235977794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1962990721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 42 SE 1010",
"address_2": "REPARTO METROPOLITANO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-595-8337",
"fax_number": "787-754-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 42 SE 1010",
"address_2": "REPARTO METROPOLITANO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-595-8337",
"fax_number": "787-754-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ LOPEZ",
"first_name": "GABRIEL",
"middle_name": "JOSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2024-07-16",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "21853",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21853",
"primary": false
}
],
"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 Jul 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.