SOFIA MARGARITA LOPEZ DIAZ MD
NPI 1275063505
Obstetrics & Gynecology in San Juan, PR

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
PUERTO RICO MEDICAL CENTER, BO MONACILLOS, SAN JUAN, PR 00917(787) 480-2791 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2021, Jun 19, 2017 (2 updates tracked since 2017).

About Sofia Margarita Lopez Diaz Md NPPES

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

SOFIA MARGARITA LOPEZ DIAZ MD (NPI 1275063505) is an individual obstetrics & gynecology provider in San Juan, Puerto Rico, licensed in Puerto Rico (23081) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of San Juan Bautista School Of Medicine (2017).

NPPES Registry Identity

NPI1275063505
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSOFIA MARGARITA LOPEZ DIAZCredential: MD
Location AddressPUERTO RICO MEDICAL CENTER, BO MONACILLOSSan Juan, PR 00917
Mailing AddressMurano Luxury AparmentsGuaynabo, PR 00969-7201 · (787) 630-6573
Sole ProprietorYes
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1275063505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PR · 23081
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sofia Margarita Lopez Diaz 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 ID1254738669
PECOS Enrollment IDI20241011001700
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sofia Lopez Diaz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1 AVE CASA LINDA
Bayamon, PR 00959
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 75 clinicians in this Medicare group
Obstetrics & Gynecology
227 LAUREL ROAD ECHELON ONE, SUITE 300
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Regional Womens Health Group LLC
  • 307 clinicians in this Medicare group
Obstetrics & Gynecology
29 CALLE WASHINGTON, ASHFORD MEDICAL CENTER
San Juan, PR 00907
  • Reassigned Medicare billing, Puerto Rico enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
PUERTO RICO MEDICAL CENTER, BO MONACILLOS
SAN JUAN, PR 00917
Internal Medicine (Hematology & Oncology)
PUERTO RICO MEDICAL CENTER, BO. MONACILLOS
SAN JUAN, PR 00917
Internal Medicine (Endocrinology, Diabetes & Metabolism)
PUERTO RICO MEDICAL CENTER, BO. MONACILLOS
SAN JUAN, PR 00917
General Practice
PUERTO RICO MEDICAL CENTER, BO.MONACILLOS
SAN JUAN, PR 00917
Internal Medicine (Pulmonary Disease)
PUERTO RICO MEDICAL CENTER, BO MONACILLOS
SAN JUAN, PR 00917
Internal Medicine (Pulmonary Disease)
PUERTO RICO MEDICAL CENTER, BO. MONACILLOS
SAN JUAN, PR 00917
Pediatrics
PUERTO RICO MEDICAL CENTER, BO MONACILLOS
SAN JUAN, PR 00917
Internal Medicine (Hematology & Oncology)
PUERTO RICO MEDICAL CENTER, BO.MONACILLOS
SAN JUAN, PR 00917

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 Sofia Lopez Diaz's NPI number?

The NPI number for Sofia Lopez Diaz is 1275063505. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Sofia Lopez Diaz located?

Sofia Lopez Diaz practices at Puerto Rico Medical Center Bo Monacillos, San Juan, PR 00917. The listed phone number is (787) 480-2791.

What is Sofia Lopez Diaz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sofia Lopez Diaz enrolled in Medicare?

Yes. Sofia Lopez Diaz 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.

Which organizations bill Medicare for Sofia Lopez Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Lopez Diaz reassigns Medicare benefits to 3 organizations: Clinica Las Americas Guaynabo, Inc (Bayamon, PR), Regional Women's Health Group, LLC (Voorhees, NJ) and Sld Obgyn LLC (San Juan, PR). Each 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 Sofia Lopez Diaz'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 Sofia Lopez Diaz was last updated on August 2, 2023. 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.