DR. Octavio Jordan Lopez, M.D. is a specialist in Bayamon, 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. Octavio Jordan Lopez, M.D. NPI is 1760475024. 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:
EDIF MEDICO SANTA CRUZ
SUITE 313
BAYAMON, PR
ZIP 00961-910
Phone: (787) 780-7832
Fax: (787) 798-1445
The NPI 1760475024 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 CLIA number assigned to this NPI record is 40D0951327 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/23/2005 and was last updated on 5/20/2011.