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DR. OCTAVIO JORDAN LOPEZ M.D.
NPI 1760475024
Internal Medicine - Gastroenterology in Bayamon, PR

Active since August 23, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 40D0951327 · Waiver
EDIF MEDICO SANTA CRUZ, SUITE 313, BAYAMON, PR 00961(787) 780-7832(787) 798-1445 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2025, May 27, 2025 (2 updates tracked since 2025).

About Dr. Octavio Jordan Lopez M.d. NPPES

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

DR. OCTAVIO JORDAN LOPEZ M.D. (NPI 1760475024) is an individual gastroenterology provider in Bayamon, Puerto Rico, licensed in Puerto Rico (003658) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 23, 2027, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1760475024
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. OCTAVIO JORDAN LOPEZCredential: M.D.
Location AddressEDIF MEDICO SANTA CRUZ, SUITE 313Bayamon, PR 00961-6910
Mailing Address73 Calle Santa Cruz Ste 311Bayamon, PR 00961-6919 · (787) 780-7832 · Fax (787) 230-1253
Phone(787) 780-7832
Fax(787) 798-1445
Sole ProprietorNo
Medical School CMSOtherGraduated 1969
Enumeration DateAugust 23, 2005
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1760475024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PR · 003658
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedSpecialistTaxonomy 174400000X · License 3658 (PR)

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. Octavio Jordan Lopez M.d. 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 ID5698676542
PECOS Enrollment IDI20040115000204
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D0951327

Octavio Jordan MD · Bayamon, PR
Active · expires Oct 23, 2027
CLIA Number40D0951327
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorOctavio Jordan MD
Laboratory Phone(787) 230-1260
Laboratory LocationOctavio Jordan MDEdif Medico Santa Cruz #73 Oficina 311, Bayamon, PR 00961
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00961 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
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
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 7

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

DR. WALTER E JANER-MARTINEZ M.D.
Internal Medicine (Gastroenterology)
EDIF MEDICO SANTA CRUZ, STE 215
BAYAMON, PR 00961
Bayamón Municipio (787) 779-6666
MR. EDWIN LUGO PIAZZA MD
Neurological Surgery
EDIF MEDICO SANTA CRUZ, OFICINA 316
BAYAMON, PR 00961
Bayamón Municipio (787) 787-8788
DR. LILIANA BICCHI M.D.
Specialist
EDIF MEDICO SANTA CRUZ, SANTA CRUZ STREET SUITE 414
BAYAMON, PR 00961
Bayamón Municipio (787) 778-4558
DR. JOSE L. MORALES ALVARADO SR. MD
Obstetrics & Gynecology (Gynecology)
EDIF MEDICO SANTA CRUZ, SUITE 203
BAYAMON, PR 00961
Bayamón Municipio (787) 780-4095
MATERNIDAD Y CLINICA GINECOLOGICA
Obstetrics & Gynecology
EDIF MEDICO SANTA CRUZ, SUITE 311
BAYAMON, PR 00961
Bayamón Municipio (787) 798-3835
DR. FRANCISCO E CARRO ANZALOTA MD
Internal Medicine (Pulmonary Disease)
EDIF MEDICO SANTA CRUZ, SUITE 202
BAYAMON, PR 00961
Bayamón Municipio (787) 740-6294
DR. SAMUEL RUIZ M.D.
Specialist
EDIF MEDICO SANTA CRUZ, SANTA CRUZ STREET SUITE 414
BAYAMON, PR 00961
Bayamón Municipio (787) 778-4558

Frequently Asked Questions

What is Octavio Jordan Lopez's NPI number?

The NPI number assigned to this healthcare provider is 1760475024, enumerated as an "individual" on August 23, 2005.

Where is the provider located?

The provider is located at EDIF MEDICO SANTA CRUZ SUITE 313 BAYAMON, PR 00961 and the phone number is (787) 780-7832.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.