Mercedes Lopez Taveras, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Ciales, PR
NPI 1972571396 · NPPES record last updated Jan 24, 2011
Key facts
- NPI
- 1972571396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 5073 (PR)
- Practice address
- Road 149 KM 12.3
Ciales, PR 00638 - Phone
- (787) 871-0601
- Fax
- (787) 871-3960
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5073 | PR | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5073 | PR | Yes |
Addresses
Primary practice location
Road 149 KM 12.3
Ciales, PR 00638
Mailing address
PO Box 1427
Ciales, PR 00638-1427
Phone (787) 871-0601
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26405 | Other | PR | MEDICAL SERVICE |
Other providers in Ciales, PR
- Laboratorio Clinico Lomar Inc.
- Laboratorio Clinico Ocean Front Inc.
- Laboratorio Clinico Y Bacteriologico Ciales Inc
- Cindy Sevilla Lebron
- Lizzette Lilliana Lespier
- Aurora Teresa Lopez-Soler
- Sheila Lozada Ramos
- Jorge Manuel Machicote
- Janet Maldonado
- Sonia E Maldonado
All providers in Ciales, PR · Obstetrics & Gynecology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.