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Rafael Adolfo Campos Lopez

General Practice

Allopathic & Osteopathic Physicians

52 Calle De Diego W, Mayaguez, PR 00680-4733

PECOS Enrollment

This provider is enrolled in PECOS as RAFAEL CAMPOS LOPEZ.

Based on the most recent information from CMS, provider Rafael Adolfo Campos Lopez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265559843
Provider Type
Individual
Full Name
Campos Lopez, Rafael Adolfo
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/26/2007
Last Updated
3/7/2023

Contact Information

Practice Location

52 Calle De Diego W, Mayaguez, PR 00680-4733

(787) 831-5479

Mailing Location

PO Box 3030, Mayaguez, PR 00681-3030

(787) 831-5479

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 15132 Puerto Rico

Provider Identifiers

ID	Description	Issuer
ID 15132	Description Other	Issuer STATE Puerto Rico
ID DM15028-4	Description Other	Issuer AMSCA Puerto Rico

Rafael Adolfo Campos Lopez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Torres Mercado, Carmen

Rosales-Medina, Jose Vicente

Rodriguez, Francisco Xavier

Illanas Hernandez, Jorge Carlos

Perez Tijerina, Rosa Y

Soto, Natalia M

Valentin Rodriguez, Carlos Ernesto

Rivera, Hans Neville

Ruiz Rios, Juan Marcelo

Vivaldi, Antonio Alberto