Individual ProviderRicardo Lopez LopezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressCarretera 492 Km 2.9, Barrio Carcovada, Hatillo, PR 00659(787) 820-0542(787) 449-8488PECOS EnrollmentBased on the most recent information from CMS, provider Ricardo Lopez Lopez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1528130952Provider TypeIndividualFull NameLopez Lopez, RicardoCredentialMDGenderMaleSole ProprietorNoEnumeration Date11/14/2006Last Updated7/1/2013Contact InformationPractice LocationPractice AddressCarretera 492 Km 2.9, Barrio Carcovada, Hatillo, PR 00659Phone(787) 820-0542Fax(787) 820-0542Mailing LocationMailing AddressPO Box 141408, Arecibo, PR 00614-1408Phone(787) 449-8488FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense14057Puerto Rico