DR. ANTONIO MEDINA LOPEZ MD NPI 1487796553

NPI Information

NPI: 1487796553
Provider Name: DR. ANTONIO MEDINA LOPEZ, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
CALLE LOPE HORMAZABAL # 40 URB MADRID
JUNCOS, PR
ZIP 00777
Phone: (787) 734-6020
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DR. Antonio Medina Lopez, MD is a specialist in Juncos, PR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Antonio Medina Lopez, MD NPI is 1487796553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CALLE LOPE HORMAZABAL # 40 URB MADRID
JUNCOS, PR
ZIP 00777-000
Phone: (787) 734-6020
Fax: (787) 737-0006

The NPI 1487796553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 9/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		13083	PUERTO RICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GLOBAL HEATLH	OTHER	PUERTO RICO	12613083
2	LACRUZ AZUL DE PR	OTHER	PUERTO RICO	061866
3	PREFERRED HEALTH PLA	OTHER	PUERTO RICO	209516
4	HUMANA REFORMA	OTHER	PUERTO RICO	7920028
5	IMC	OTHER	PUERTO RICO	7846
6	AMERICAN HEALTH	OTHER	PUERTO RICO	1195
7	MMM	OTHER	PUERTO RICO	995824
8	ACAA	OTHER	PUERTO RICO	1605232
9	TRIPLE S	OTHER	PUERTO RICO	20998

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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