Individual ProviderRodney Lopez LopezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressCalle Jose C Vazquez 2, Aibonito, PR 00705(787) 735-8001(787) 347-5311PECOS EnrollmentBased on the most recent information from CMS, provider Rodney 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 ID1578569216Provider TypeIndividualFull NameLopez Lopez, RodneyTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date6/27/2005Last Updated9/25/2019Contact InformationPractice LocationPractice AddressCalle Jose C Vazquez 2, Aibonito, PR 00705Phone(787) 735-8001FaxUnlisted FaxMailing LocationMailing AddressPO Box 686, Coamo, PR 00769Phone(787) 347-5311FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense14539Puerto Rico