MEDICARE: DR. OCTAVIO JORDAN LOPEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	3658	PR
2	207RG0100X	Gastroenterology Physician	003658	PR

General Provider Information

NPI Number	:	1760475024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OCTAVIO JORDAN LOPEZ M.D.

Provider Business Mailing Address
First Line	:	73 CALLE SANTA CRUZ STE 311
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00961-6919
Country	:	US
Telephone Number	:	787-780-7832
Fax Number	:	787-230-1253

Provider Business Practice Location Address
First Line	:	EDIF MEDICO SANTA CRUZ
Second Line	:	SUITE 313
City	:	BAYAMON
State	:	PR
Zip	:	00961-6910
Country	:	US
Telephone Number	:	787-780-7832
Fax Number	:	787-798-1445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	06/02/2025

Similar Medicare Providers

1134122625 — DR. WALTER E JANER-MARTINEZ M.D.
Practice Location Address:

EDIF MEDICO SANTA CRUZ , STE 215
BAYAMON, PR
00961-6910

Practice Phone: 787-779-6666
Practice Fax: 787-786-3501

1457350100 — DR. JESUS MUNIZ
Practice Location Address:

73 CALLE SANTA CRUZ , SUITE 410
BAYAMON, PR
00961-6910

Practice Phone: 787-778-1711
Practice Fax: 787-790-5246

1689675662 — DR. FELIX RUIZ ALVAREZ M.D.
Practice Location Address:

73 CALLE SANTA CRUZ , SUITE 107-B
BAYAMON, PR
00961-6910

Practice Phone: 787-785-3790
Practice Fax: 787-294-6843

1316930027 — DR. LUIS SANTOS PEREZ-TORO M.D.
Practice Location Address:

73 CALLE SANTA CRUZ , SUITE 314
BAYAMON, PR
00961-6910

Practice Phone: 787-787-0171
Practice Fax: 787-787-0221

1043203755 — LESLIE HOY MD
Practice Location Address:

73 CALLE SANTA CRUZ , STE 314
BAYAMON, PR
00961-6910

Practice Phone: 787-787-0171
Practice Fax: 787-787-0221

1104810373 — YESMIN FADUL PAULINO MD
Practice Location Address:

73 CALLE SANTA CRUZ , SANTA CRUZ MEDICAL BLDG STE 409
BAYAMON, PR
00961-6910

Practice Phone: 787-778-1567
Practice Fax: 787-778-1567

Directions to “ DR. OCTAVIO JORDAN LOPEZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.