Active NPIIndividual provider

Dr. Octavio Jordan Lopez, MD

Internal Medicine, Gastroenterology in Bayamon, Puerto Rico

NPI Number1760475024
Practice location
Edif Medico Santa Cruz, Suite 313, Bayamon, PR 00961-6910
Fax
787-798-1445
Last updated
June 2, 2025

Octavio Jordan Lopez is an Internal Medicine, Gastroenterology based in Bayamon, PR. Octavio Jordan Lopez practices in Bayamon, PR and has the professional credentials of MD. The NPI Number for Octavio Jordan Lopez is 1760475024 and holds a License No. 3658 (PR). The current practice location address for Octavio Jordan Lopez is Edif Medico Santa Cruz, Suite 313, Bayamon, PR 00961-6910 and can be reached out via phone at 787-780-7832 and via fax at 787-798-1445.

Provider Profile Details

NPI Number
1760475024
Provider Name
Octavio Jordan Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Edif Medico Santa Cruz, Suite 313, Bayamon, PR 00961-6910
Phone Number
787-780-7832
Fax Number
787-798-1445
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2005
Last Update Date
June 2, 2025
Certification Date
June 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Edif Medico Santa Cruz
Suite 313
Bayamon, PR 00961-6910
Zip
00961-6910
Phone Number
787-780-7832
Fax Number
787-798-1445
Bayamon, PR 00961Get directions →

Provider Business Mailing Address Details

Address
73 Calle Santa Cruz Ste 311
Bayamon, PR 00961-6919
City
Bayamon
State
PR
Zip
00961-6919
Phone Number
787-780-7832
Fax Number
787-230-1253

License Information

License Number (1)
3658
License State (1)
PR
Taxonomy (1)
Specialist · 174400000X
License Number (2)
003658
License State (2)
PR
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

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

Other Internal Medicine, Gastroenterology providers near Bayamon, PR

View all Internal Medicine, Gastroenterology providers in Bayamon →

Frequently Asked Questions

What is the NPI number of Dr. Octavio Jordan Lopez, MD?

The NPI number of Dr. Octavio Jordan Lopez, MD is 1760475024. It was assigned on August 23, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Octavio Jordan Lopez, MD?

Dr. Octavio Jordan Lopez, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in PR under license number 3658.

Where does Dr. Octavio Jordan Lopez, MD practice?

The practice location is Edif Medico Santa Cruz, Suite 313, Bayamon, PR 00961-6910. The office can be reached at 787-780-7832 (phone) or 787-798-1445 (fax).

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 1760475024 directly on the NPPES registry website.

Browse related providers