Active NPIIndividual providerSole proprietor

Deric A Lopez, MD

Family Medicine, Geriatric Medicine in Manati, Puerto Rico

NPI Number1043644412
Practice location
Carretera # 2 Km 47.7, Manati, PR 00674
Fax
—
Last updated
August 5, 2019

Deric Alejandro Lopez is a Family Medicine, Geriatric Medicine based in Manati, PR. Deric Alejandro Lopez practices in Manati, PR and has the professional credentials of MD. The NPI Number for Deric Alejandro Lopez is 1043644412 and holds a License No. 19986 (PR). The current practice location address for Deric Alejandro Lopez is Carretera # 2 Km 47.7, Manati, PR 00674 and can be reached out via phone at 787-854-3322.

Provider Profile Details

NPI Number
1043644412
Provider Name
Deric Alejandro Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Carretera # 2 Km 47.7, Manati, PR 00674
Phone Number
787-854-3322
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2013
Last Update Date
August 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carretera # 2 Km 47.7
Manati, PR 00674
City
Manati
Zip
00674
Phone Number
787-854-3322
Manati, PR 00674Get directions →

Provider Business Mailing Address Details

Address
Po Box 30532
Manati, PR 00674-8513
City
Manati
State
PR
Zip
00674-8513
Phone Number
787-854-3322

License Information

License Number
19986
License State
PR
Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deric A Lopez, MD?

The NPI number of Deric A Lopez, MD is 1043644412. It was assigned on August 21, 2013 and is currently active in the NPPES registry.

What is the specialty of Deric A Lopez, MD?

Deric A Lopez, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in PR under license number 19986.

Where does Deric A Lopez, MD practice?

The practice location is Carretera # 2 Km 47.7, Manati, PR 00674. The office can be reached at 787-854-3322 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043644412 directly on the NPPES registry website.

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