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DR. EDWIN BANNACEK LOPEZ MD
NPI 1164920807
General Practice in Guayama, PR

Active since January 29, 2018PECOS EnrolledAccepts Medicare Assignment
CALLE FRANCISCO G BRUNO #48 OESTE ESQUINA SAN ANTONIO, GUAYAMA, PR 00784(787) 409-6657(787) 409-6657 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edwin Bannacek Lopez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN BANNACEK LOPEZ MD (NPI 1164920807) is an individual general practice provider in Guayama, Puerto Rico, licensed in Puerto Rico (19831) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164920807
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDWIN BANNACEK LOPEZCredential: MD
Location AddressCALLE FRANCISCO G BRUNO #48 OESTE ESQUINA SAN ANTONIOGuayama, PR 00784-0078
Mailing AddressPo Box 13Guayama, PR 00785-0013 · (787) 409-6657
Phone(787) 409-6657
Fax(787) 409-6657
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 29, 2018
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 23, 2022
✔ NPI 1164920807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 19831
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edwin Bannacek Lopez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830446830
PECOS Enrollment IDI20180723001276
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIND U HEALTH
General Practice
CALLE FRANCISCO G BRUNO #48 OESTE ESQUINA SAN ANTONIO
GUAYAMA, PR 00784
Guayama Municipio (787) 864-6670

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 Edwin Lopez's NPI number?

The NPI number for Edwin Lopez is 1164920807. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Edwin Lopez located?

Edwin Lopez practices at Calle Francisco G Bruno #48 Oeste Esquina San Antonio, Guayama, PR 00784. The listed phone number is (787) 409-6657.

What is Edwin Lopez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Edwin Lopez enrolled in Medicare?

Yes. Edwin Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edwin Lopez was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.