Individual provider Active NPI

Joel Josue Lopez-Vega, M.D.

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1992972459
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17153 Issued in PR
Practice address
Carr 110 KM 3.6 Bo. Arenales Sector la Charca
Aguadilla, PR 00603-9466
Phone
(787) 890-0789
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17153 PR Primary

Addresses

Primary practice location

Carr 110 KM 3.6 Bo. Arenales Sector la Charca
Aguadilla, PR 00603-9466

Mailing address

HC 07 Box 38931
Aguadilla, PR 00603-9466
Phone (787) 890-0789

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000314 PR Practitioner - General Practice 9537234323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc CurrentSince Jul 26, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1992972459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 07 BOX 38931",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039466",
            "telephone_number": "787-890-0789",
            "fax_number": "787-890-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 3.6 BO. ARENALES SECTOR LA CHARCA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039466",
            "telephone_number": "787-890-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-VEGA",
        "first_name": "JOEL",
        "middle_name": "JOSUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.