Active NPI
Jonathan Lopez
- Certified Registered Nurse Anesthetist
- Arecibo, PR
National Provider Identifier
1972209013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024187620
- Practice address
- 55 Calle Palma
Arecibo, PR 00612-4526 - Phone
- (787) 650-1030
- NPI assigned
- Jan 31, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 134756 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024187620 | VA | Primary |
Addresses
Primary practice location
55 Calle Palma
Arecibo, PR 00612-4526
Mailing address
42369 Calle Arca de Noe
Quebradillas, PR 00678-9495
Phone (787) 579-2321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134756 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134756 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winchester Anesthesiologists Inc | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients |
Locations
7519 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-8800
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Winchester, VA
- NPI 1700841137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1972209013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42369 CALLE ARCA DE NOE",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "006789495",
"telephone_number": "787-579-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE PALMA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124526",
"telephone_number": "787-650-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "134756",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024187620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134756",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.