Dr Mario R Lopez, MD - Medicare Internal Medicine in Carolina, PR

Dr Mario R Lopez, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Carolina, Puerto Rico. His current practice location is 116-1 Calle 74, Villa Carolina, Carolina, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 402-9031.

Dr Mario R Lopez is licensed to practice in Puerto Rico (license number 18378) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952355968.

Contact Information

Dr Mario R Lopez, MD
116-1 Calle 74, Villa Carolina,
Carolina, PR 00985-4117
(787) 402-9031
(866) 396-9013

Map and Direction




Physician's Profile

Full NameDr Mario R Lopez
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location116-1 Calle 74, Carolina, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952355968
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 05/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6406868348
  • Enrollment ID: I20160406001687

Medical Identifiers

Medical identifiers for Dr Mario R Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952355968NPI-NPPES
18378OtherPRMEDICAL LICENSE
ME 75291OtherFLME NUMBER
259930900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease ME 75291 (Florida)Secondary
207RI0200XInternal Medicine - Infectious Disease 18378 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mario R Lopez allows following entities to bill medicare on his behalf.
Entity NamePro Health Clinical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881003382
PECOS PAC ID: 1759692478
Enrollment ID: O20150623000748

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mario R Lopez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mario R Lopez, MD
116-1 Calle 74, Villa Carolina,
Carolina, PR 00985-4117

Ph: (787) 402-9031
Dr Mario R Lopez, MD
116-1 Calle 74, Villa Carolina,
Carolina, PR 00985-4117

Ph: (787) 402-9031

Reviews and Comments


Internal Medicine Doctors in Carolina, PR

Dr. Luis R Lopez-ruyol, MD
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 117 A #4 Roberto Clemente Ave, Urb Villa Carolina, Carolina, PR 00985
Phone: 787-762-0700    Fax: 787-762-0700
Dr. Anisonia Martinez Hernandez, MD
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Practice Location: Ave Iturregui, Country Club, Carolina, PR 00985
Phone: 787-768-4278    
Dr. Teresa Monge, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: Qk25 Calle 533, 4th Ext. Country Club, Carolina, PR 00982
Phone: 787-276-4688    
Victor Manuel Arroyo, MD
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: Cond Plaza Altantico, Apt 1402, Carolina, PR 00979
Phone: 787-380-2439    
Dr. Hector Santos, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: Escorial Building One 1400 Avenue Sur Suite160, Carolina, PR 00987
Phone: 787-257-1511    Fax: 787-257-1881
Vanessa Velazquez, M.D.
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: Go4-b Campo Rico Avenue, Country Club, Carolina, PR 00982
Phone: 787-750-0444    Fax: 787-750-0195
Dr. Monica Cespedes Santana, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4735 Ave Isla Verde Apt 5k, Carolina, PR 00979
Phone: 787-342-2784    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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