Active NPI
Fanny Rubi Lopez, M.D.
- Pediatrics Physician
- San German, PR
National Provider Identifier
1982645115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9837
- Practice address
- 187 Calle Luna
Rali Building Suite 205
San German, PR 00683-4481 - Phone
- (787) 892-2040
- Fax
- (787) 892-2040
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9837 | PR | Primary |
Addresses
Primary practice location
187 Calle Luna
Rali Building Suite 205
San German, PR 00683-4481
Mailing address
PO Box 8068
Mayaguez, PR 00681-8068
Phone (787) 892-2040
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9837 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982645115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8068",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006818068",
"telephone_number": "787-892-2040",
"fax_number": "787-892-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 CALLE LUNA",
"address_2": "RALI BUILDING SUITE 205",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006834481",
"telephone_number": "787-892-2040",
"fax_number": "787-892-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "FANNY",
"middle_name": "RUBI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "9837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.