DERIC ALEJANDRO LOPEZ (NPI# 1043644412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043644412 |
| Entity Type | Individual |
| Full Name | DERIC ALEJANDRO LOPEZ |
| Credential | M.D. |
| Practice Address |
Carretera # 2 Km 47.7 Manati PR 00674 |
| Mailing Address |
Po Box 30532 Manati PR 00674-8513 |
| Practice Telephone | 7878543322 |
| Mailing Telephone | 7878543322 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
19986 | PR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Carretera 2 Interseccion 668, Urbanization Athenas, Manati, PR 00674 | 7876213700 |
| Street Address |
CARRETERA # 2 KM 47.7 |
| City | MANATI |
| State | PR |
| Zip Code | 00674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668845 | Marlyne Lopez Pantoja | Psychologist | Urb. Monserrate C/ Golondrina G-2 #504, Manati, PR 00674 | 2020-10-27 |
| 1538768338 | Yaidelise Ayala-villalobos | Speech-Language Pathologist | Bo Cotto Norte Urb Villa Maria B-4, Manati, PR 00674 | 2020-10-22 |
| 1043826142 | Karina Mariel Garcia Collazo | General Practice | Est. Valle Verde #41, Calle Quebrada, Manati, PR 00674 | 2020-09-23 |
| 1184239287 | Xayisnalie Martinez Rodriguez | Student in an Organized Health Care Education/Training Program | Bo San Jose 13 Calle Jaraquemada, Manati, PR 00674 | 2020-09-15 |
| 1114532207 | Professional Nutrition By Lcda. Daina Vega Miranda LLC | Nutritionist | Urb Atenas B-36 Calle Elliot Velez, Manati, PR 00674 | 2020-09-15 |
| 1538774427 | Yomayra Cruz I | Social Worker | The Renal Center of Manati, Carr. 2 Km. 47.7, Manati, PR 00674 | 2020-09-09 |
| 1487268942 | Keila Raquel Alvarado | Social Worker | 208 Calle Gorrion Urb. Hacienda La Monserrate, Manati, PR 00674 | 2020-09-02 |
| 1598374415 | Beyond Care Doctor Group Csp | General Practice | Bo Cotto Norte Carr 670 Km 3.2, Manati, PR 00674 | 2020-07-27 |
| 1295343267 | David Agustin Lopez Rodriguez | General Practice | Calle Hernandez Carrion Urb Atenas Manati, Manati, PR 00674 | 2020-07-16 |
| 1326664160 | Lislie Lisete Gonzalez Veitia | Family Medicine | Manati Medical Center, Calle Hernandez Carrion, Manati, PR 00674 | 2020-06-17 |
| Find all providers in zip 00674 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961613 | Centralis Med LLC | Family Medicine | Ave. Bairoa, Hospital Panamericano, Bairoa Shopping Center #126, Caguas, PR 00725 | 2020-01-13 |
| 1386015162 | Recinto De Ciencias Medicas | Family Medicine | Carr.3 Km 8.3 Ave 65 De Infanteria Hospital, Upr Federici Trilla, Carolina, PR 00984-0001 | 2015-10-19 |
| 1245656388 | Sanus Corp | Family Medicine | 530 Calle Juan Davila, Urb. Los Ingenieros, San Juan, PR 00918-2750 | 2014-03-13 |
| 1811336886 | Anibal Rivera-rivera | Family Medicine | 1772 Calle Glasgow, San Juan, PR 00921-4810 | 2013-06-22 |
| 1922339225 | Medicos De Familia Imf, Csp | Family Medicine | Fd Roosevelt #1028, Puerto Nuevo, San Juan, PR 00920-2904 | 2010-01-26 |
| 1770726150 | Javier Anaya Gonzalez | Family Medicine | Ave. Campo Rico A-6, Castellana Gardens, Carolina, PR 00983 | 2009-04-14 |
| 1093909996 | Shirley Perez-lopez | Family Medicine | X2 Ave Luis Munoz Marin, Urb Mariolga, Caguas, PR 00725 | 2007-09-04 |
| 1811026966 | Gilberto Ramirez Aponte | Family Medicine | Espada 451 Urb Roosevelt, Hato Rey, PR 00918 | 2007-03-05 |
| 1407991813 | Ivonne Maria Vega | Family Medicine | 227 Jardin Tropical, Jardines De Vega Baja, Vega Baja, PR 00693-3980 | 2007-02-21 |
| 1821134297 | Luis Miguel Diaz | Family Medicine | 158 Calle San Felipe, Arecibo, PR 00612 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DERIC ALEJANDRO LOPEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.