DR. CARMEN LOPEZ M.D
NPI 1255314746
General Practice in Rio Grande, PR
NPI Status: Active since November 29, 2005
Contact Information
L1 CALLE 4
VILLAS DE RIO GRANDE
RIO GRANDE, PR
ZIP 00745
Phone: (787) 888-7336
Fax: (787) 887-4045
- Individual
- Female
- General Practice
- PECOS Enrolled
About CARMEN LOPEZ
This page provides the complete NPI Profile along with additional information for Carmen Lopez, a primary care provider established in Rio Grande, Puerto Rico with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1255314746 assigned on November 2005. The practitioner's primary taxonomy code is 208D00000X with license number 9791 (PR). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1255314746
- Provider Name
- DR. CARMEN LOPEZ M.D
- Gender
- Female
- Entity Type
- Individual
- Location Address
- L1 CALLE 4 VILLAS DE RIO GRANDE RIO GRANDE, PR 00745
- Location Phone
- (787) 888-7336
- Location Fax
- (787) 887-4045
- Mailing Address
- L1 CALLE 4 VILLAS DE RIO GRANDE RIO GRANDE, PR 00745
- Mailing Phone
- (787) 888-7336
- Mailing Fax
- (787) 887-4045
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-29-2005
- Last Update Date
- 08-09-2022
- Code Navigator
A primary care provider (PCP) like Carmen Lopez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 9791
- License State
- PR
- Taxonomy Description
- 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 Enrollment Status
Carmen Lopez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Stationary oxygen contents, liquid, 1 month's supply = 1 unit (HCPCS:E0442)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Reviews for DR. CARMEN LOPEZ M.D
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255314746, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255314746, enumerated as an "individual" on November 29, 2005.
The provider is located at L1 CALLE 4 VILLAS DE RIO GRANDE RIO GRANDE, PR 00745 and the phone number is (787) 888-7336.
General Practice with taxonomy code 208D00000X.
