Dr Mario R Lopez, MD | |
116-1 Calle 74, Villa Carolina, Carolina, PR 00985-4117 | |
(787) 402-9031 | |
(866) 396-9013 |
Full Name | Dr Mario R Lopez |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 116-1 Calle 74, Carolina, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952355968 | NPI | - | NPPES |
18378 | Other | PR | MEDICAL LICENSE |
ME 75291 | Other | FL | ME NUMBER |
259930900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | ME 75291 (Florida) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 18378 (Puerto Rico) | Primary |
Entity Name | Pro Health Clinical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881003382 PECOS PAC ID: 1759692478 Enrollment ID: O20150623000748 |
Mailing Address | Practice Location Address |
---|---|
Dr Mario R Lopez, MD 116-1 Calle 74, Villa Carolina, Carolina, PR 00985-4117 Ph: (787) 402-9031 | Dr Mario R Lopez, MD 116-1 Calle 74, Villa Carolina, Carolina, PR 00985-4117 Ph: (787) 402-9031 |
Dr. Luis R Lopez-ruyol, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 117 A #4 Roberto Clemente Ave, Urb Villa Carolina, Carolina, PR 00985 Phone: 787-762-0700 Fax: 787-762-0700 | |
Dr. Anisonia Martinez Hernandez, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Ave Iturregui, Country Club, Carolina, PR 00985 Phone: 787-768-4278 | |
Dr. Teresa Monge, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Qk25 Calle 533, 4th Ext. Country Club, Carolina, PR 00982 Phone: 787-276-4688 | |
Victor Manuel Arroyo, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Cond Plaza Altantico, Apt 1402, Carolina, PR 00979 Phone: 787-380-2439 | |
Dr. Hector Santos, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Escorial Building One 1400 Avenue Sur Suite160, Carolina, PR 00987 Phone: 787-257-1511 Fax: 787-257-1881 | |
Vanessa Velazquez, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Go4-b Campo Rico Avenue, Country Club, Carolina, PR 00982 Phone: 787-750-0444 Fax: 787-750-0195 | |
Dr. Monica Cespedes Santana, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4735 Ave Isla Verde Apt 5k, Carolina, PR 00979 Phone: 787-342-2784 |