JOEL LOPEZ-FIGUEROA
NPI 1811271463
Internal Medicine - Hematology & Oncology in Humacao, PR

Q: What is Joel Lopez-figueroa's NPI number?

The NPI number for Joel Lopez-figueroa is 1811271463. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Q: What is Joel Lopez-figueroa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since September 30, 2011PECOS EnrolledAccepts Medicare Assignment

67.09/100

CMS Quality Rating

12 CALLE VICTORIA, LEGACY MEDICAL CENTER SUITE 22, HUMACAO, PR 00791(787) 266-9151(787) 266-9152 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2023, Apr 1, 2021, Jul 19, 2019 (3 updates tracked since 2019).

On this page

About Joel Lopez-figueroa NPPES

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

JOEL LOPEZ-FIGUEROA (NPI 1811271463) is an individual hematology & oncology provider in Humacao, Puerto Rico, licensed in Puerto Rico (19058) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with San Juan Municipal Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811271463

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJOEL LOPEZ-FIGUEROA

Location Address12 CALLE VICTORIA, LEGACY MEDICAL CENTER SUITE 22Humacao, PR 00791-4283

Mailing AddressCorreo Villa, Aa-02 Ave Tejas Pmb 289Humacao, PR 00791 · (787) 266-9151 · Fax (787) 266-9152

Phone(787) 266-9151

Fax(787) 266-9152

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 30, 2011

Last NPPES UpdateMay 12, 20233 updates tracked since enumeration

NPPES CertifiedMay 2, 2023

✔ NPI 1811271463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in PR · 19058

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Secondary Practice Locations 2

Location 1Sector Cuesta Los Jobos # 300Humacao, PR 00792-3230 · Phone (787) 852-0505

Location 2AVE PONCE DE LEON #715 STOP 37.5San Juan, PR 00918 · Phone (787) 758-2000

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

Joel Lopez-figueroa 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 ID42542250

PECOS Enrollment IDI20191021002245

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

Medicare enrollment records show Joel Lopez-figueroa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Departamento De Salud Oficial

Clinical Medical Laboratory

LABORATORIO SALUD PUBLICA DE P.R., EDIFICIO A BO MONACILLO
Rio Piedras, PR 00923

Reassigned Medicare billing, Puerto Rico enrollment
57 clinicians in this Medicare group

NPI 1154443034 (787) 274-5766

Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.

General Acute Care Hospital

735 AVE PONCE DE LEON, STOP 37.5
San Juan, PR 00917

Reassigned Medicare billing, Puerto Rico enrollment
31 clinicians in this Medicare group

NPI 1376561522 (787) 758-2000

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

San Juan Municipal Hospital

Acute Care Hospitals · Rio Piedras, PR

OwnershipGovernment - Local

CMS Certification Number400015

LocationBarrio Monacillos,centro MedicoRio Piedras, PR 00936 · San Juan County

Emergency services

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number400016

LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00791 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

$172.44 typical visit price

range $56.86 – $172.44

Typical copayment $43.11 (range $14.21 – $43.11)

Most-billed visit code 99205

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.73

Promoting Interoperability

Improvement Activities

Cost

68.24

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 Joel Lopez-figueroa's NPI number?

The NPI number for Joel Lopez-figueroa is 1811271463. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Joel Lopez-figueroa located?

Joel Lopez-figueroa practices at 12 Calle Victoria Legacy Medical Center Suite 22, Humacao, PR 00791. The listed phone number is (787) 266-9151.

What is Joel Lopez-figueroa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Joel Lopez-figueroa enrolled in Medicare?

Yes. Joel Lopez-figueroa 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 Joel Lopez-figueroa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Lopez-figueroa reassigns Medicare benefits to 2 organizations: Departamento De Salud Oficial (Rio Piedras, PR) and Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc. (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 Joel Lopez-figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joel Lopez-figueroa affiliated with any hospitals?

According to CMS data, Joel Lopez-figueroa is affiliated with San Juan Municipal Hospital and Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Joel Lopez-figueroa was last updated on May 12, 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.