DR. OCTAVIO JORDAN LOPEZ (NPI# 1760475024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760475024 |
| Entity Type | Individual |
| Full Name | DR. OCTAVIO JORDAN LOPEZ |
| Credential | M.D. |
| Practice Address |
Edif Medico Santa Cruz Suite 313 Bayamon PR 00961-6910 |
| Practice Telephone | 7877807832 |
| Practice Fax Number | 7877981445 |
| Mailing Telephone | 7877807832 |
| Mailing Fax Number | 7877981445 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2011-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3658 | PR | Other Service Providers |
| Street Address |
EDIF MEDICO SANTA CRUZ SUITE 313 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122625 | Walter E Janer-martinez | Internal Medicine | Edif Medico Santa Cruz, Ste 215, Bayamon, PR 00961-6910 | 2005-05-27 |
| 1033265129 | Maternidad Y Clinica Ginecologica | Obstetrics & Gynecology | Edif Medico Santa Cruz, Suite 311, Bayamon, PR 00961-6910 | 2007-01-25 |
| 1932146263 | Francisco E Carro Anzalota | Specialist | Edif Medico Santa Cruz, Suite 202, Bayamon, PR 00961 | 2006-06-02 |
| 1790754042 | Jose L. Morales Alvarado Sr. | Obstetrics & Gynecology | Edif Medico Santa Cruz, Suite 203, Bayamon, PR 00961-6910 | 2006-03-17 |
| 1013985423 | Liliana Bicchi | Specialist | Edif Medico Santa Cruz, Santa Cruz Street Suite 414, Bayamon, PR 00961-6910 | 2006-03-10 |
| 1144298688 | Samuel Ruiz | Specialist | Edif Medico Santa Cruz, Santa Cruz Street Suite 414, Bayamon, PR 00961-6910 | 2006-03-10 |
| 1558336727 | Edwin Lugo Piazza | Neurological Surgery | Edif Medico Santa Cruz, Oficina 316, Bayamon, PR 00961-6910 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
| 1467944975 | Everest Management & Healthcare Solutions | Specialist | N6 Calle Atenea, Villas De Buena Vista, Bayamon, PR 00956 | 2018-05-31 |
| 1629421763 | Alivio Natural Puerto Rico | Specialist | 22 Calle Santa Cruz, Bayamon, PR 00961-6906 | 2016-07-13 |
| 1386099752 | Simona Dana Morogan Castro | Specialist | 1 Calle K5, Urb. La Milagrosa, Bayamon, PR 00959 | 2016-05-04 |
| 1164889838 | Tr Medical Management LLC | Specialist | 49 Calle I, Extension Hermanas Davila, Bayamon, PR 00960-0000 | 2016-01-26 |
| 1710367644 | Jose Bermudez Ginecologo Csp | Specialist | Edificio Dr Arturo Cadilla, Suite 408 #100 Paseo San Pablo, Bayamon, PUERTO RICO 00961-7028 | 2015-06-05 |
| 1356772651 | Anestesia En Ccalma, C.s.p. | Specialist | 1875 Carr 2, Suite 301, Bayamon, PR 00959-7208 | 2013-12-12 |
| 1689923807 | Belladonna Medical Wellness Inc. | Specialist | Carr# 2 Esq. Betances Shopping Capri, Bayamon, PR 00961 | 2012-09-04 |
| 1528209053 | Antonio Rivera | Specialist | Federico Montilla 1500, Cond Torres Del Parque 401 N, Bayamon, PR 00956 | 2009-03-12 |
| 1437397742 | Occupational Medical Services Inc | Specialist | Ave. Carlos J Anadaluz 2g14 Lomas Verdes, Bayamon, PR 00956 | 2009-01-23 |
| Find all providers in BAYAMON | ||||
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| 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.