DR. JOSE MIGUELANGEL LOPEZ MOA M.D.
NPI 1063691616
General Practice in Ponce, PR
About Dr. Jose Miguelangel Lopez Moa M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSE MIGUELANGEL LOPEZ MOA M.D. (NPI 1063691616) is an individual general practice provider in Ponce, Puerto Rico, licensed in Puerto Rico (16897) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jose Miguelangel Lopez Moa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jose Lopez Moa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ponce, PR 00728
- Reassigned Medicare billing, Puerto Rico enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jose Lopez Moa's NPI number?
The NPI number for Jose Lopez Moa is 1063691616. It was assigned to this individual provider in the NPPES registry on October 31, 2007.
Where is Jose Lopez Moa located?
Jose Lopez Moa practices at 1831 Ave Las Americas, Ponce, PR 00728. The listed phone number is (787) 243-8081.
What is Jose Lopez Moa's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jose Lopez Moa enrolled in Medicare?
Yes. Jose Lopez Moa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jose Lopez Moa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Lopez Moa reassigns Medicare benefits to Antonsanti Physicians Group (Ponce, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Lopez Moa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jose Lopez Moa was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jose Miguelangel Lopez Moa, M.D. · NPI 1063691616
General Practice physician in Ponce, Puerto Rico. Individual provider, active in the CMS NPPES registry since October 31, 2007.
## Identity
- **NPI:** 1063691616 (Entity type: Individual)
- **Enumerated:** October 31, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 16897 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1831 AVE LAS AMERICAS, Ponce, PR 00728-1816
- **Phone:** (787) 243-8081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Antonsanti Physicians Group (NPI 1639520992, Ponce, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1063691616) · Data from the CMS NPPES public registry.