DR. IDALIA PEDROZA-LOPEZ M.D.
NPI 1477687564
Internal Medicine in Caguas, PR

NPI Status: Active since March 14, 2007

Contact Information

201 CALLE GAUTIER BENITEZ
SUITE 201
CAGUAS, PR
ZIP 00725
Phone: (787) 743-1699
Fax: (787) 258-1517

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  • Individual
  • Female
  • Years of Experience 33
  • Internal Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About IDALIA PEDROZA-LOPEZ

This page provides the complete NPI Profile along with additional information for Idalia Pedroza-lopez, an internist established in Caguas, Puerto Rico with a medical specialization in Internal Medicine and more than 33 years of experience. She graduated from University Central Del Caribe Escuela De Medicina in 1993. The healthcare provider is registered in the NPI registry with number 1477687564 assigned on March 2007. The practitioner's primary taxonomy code is 207R00000X with license number 12214 (PR). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1477687564
Provider Name
DR. IDALIA PEDROZA-LOPEZ M.D.
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
201 CALLE GAUTIER BENITEZ SUITE 201 CAGUAS, PR 00725
Location Phone
(787) 743-1699
Location Fax
(787) 258-1517
Mailing Address
PO BOX 6735 CAGUAS, PR 00726
Mailing Phone
(787) 743-1699
Mailing Fax
(787) 258-1517
Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Graduation Year
1993
Is Sole Proprietor?
Yes
Enumeration Date
03-14-2007
Last Update Date
07-09-2007
Code Navigator

An internist like Idalia Pedroza-lopez is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
12214
License State
PR
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G41270MEDICARE UPIN (02)PR 

Medicare Participation & PECOS Enrollment Status

Idalia Pedroza-lopez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Idalia Pedroza-lopez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860556206

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090129000141

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.66 for a new patient copayment and $25.06 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 00725 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.65
  • Minimum New Patient Price $56.86
  • Maximum New Patient Price $172.44
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.24
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.44
  • Average Established Patient Copayment $25.06
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. IDALIA PEDROZA-LOPEZ M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477687564
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2414712814512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 2 + 8 + 1 + 4 + 5 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1477687564 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710984786DR. RAYMOND HALAIS D.M.D.
Individual
Dentist (Endodontics)201 CALLE GAUTIER BENITEZ STE 200
CAGUAS, PR 00725
(787) 745-3636
1134102940DR. EMILO RAFAEL GONZALEZ M.D.
Individual
Specialist201 CALLE GAUTIER BENITEZ SUITE 303 CONSOLIDATED MEDICAL PLAZA
CAGUAS, PR 00725
(787) 746-5993
1700860186DR. JEFFREY HERNANDEZ MD
Individual
Specialist201 CALLE GAUTIER BENITEZ CONSOLITED MEDICAL PLAZA SUITE 303
CAGUAS, PR 00725
(787) 746-5993
1487696381DR. PEDRO GERARDO COLON
Individual
Dentist201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA, SUITE 202
CAGUAS, PR 00725
(787) 743-2128
1700814084 JOSE E MELENDEZ MALDONADO M.D.
Individual
Nuclear Medicine201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA, SUITE 101
CAGUAS, PR 00725
(787) 744-5278
1063517563 MARTA BRITO-HERNANDEZ RPT
Individual
Physical Therapist201 CALLE GAUTIER BENITEZ SUITE 308
CAGUAS, PR 00725
(787) 258-3275
1346374402DR. JOSE R VIERA-VEGA M.D.
Individual
Internal Medicine201 CALLE GAUTIER BENITEZ SUITE 201
CAGUAS, PR 00725
(787) 743-1699
1558585794 ERIC JAVIER CAMACHO M.D.
Individual
Physical Medicine & Rehabilitation (Sports Medicine)201 CALLE GAUTIER BENITEZ SUITE 031
CAGUAS, PR 00725
(787) 258-3275
1679793533 CLARA M SANTOS PT
Individual
Physical Therapist201 CALLE GAUTIER BENITEZ CONSOLIDATED MALL SUITE C-21
CAGUAS, PR 00725
(787) 653-4001
1154697456INTEGRATED PSYCHOLOGICAL SERVICES CSP
Organization
Psychologist (Clinical)201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA OFFICE 307A
CAGUAS, PR 00725
(787) 961-3600
1750644183DR. LISBETH WYS PSYD
Individual
Psychologist (Clinical)201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA SUITE 012, OFFICE 307 A
CAGUAS, PR 00725
(787) 961-3600
1255391108DR. ANTONIO CAPELLA-HERNANDEZ MD
Individual
Family Medicine201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA 309
CAGUAS, PR 00725
(787) 703-3710
1598978835GRUPO RENAL DEL ESTE PSC.
Organization
Internal Medicine (Nephrology)201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA SUITE 307
CAGUAS, PR 00725
(787) 746-7441
1790118123 MARILYN LOPEZ
Individual
Psychologist201 CALLE GAUTIER BENITEZ CONSOLIDATE MALL SUITE C-21
CAGUAS, PR 00725
(787) 653-4001
1780012831PLAZA ENDODONTICS PSC
Organization
Clinic/Center (Dental)201 CALLE GAUTIER BENITEZ SUITE 200
CAGUAS, PR 00725
(787) 745-3636
1437268083 LUIS ALEXANDER MIRANDA TORRES MD
Individual
Orthopaedic Surgery201 CALLE GAUTIER BENITEZ CONSOLIDATED MEDICAL PLAZA, STE.305
CAGUAS, PR 00725
(787) 704-0033
1356475479CONSULTORIO MEDICO DRS. VIERA Y PEDROZA, CSP
Organization
Internal Medicine201 CALLE GAUTIER BENITEZ SUITE 201
CAGUAS, PR 00725
(787) 743-1699

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477687564, enumerated in the NPI registry as an "individual" on March 14, 2007

The provider is located at 201 Calle Gautier Benitez Suite 201 Caguas, Pr 00725 and the phone number is (787) 743-1699

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 33 years of experience. She graduated from University Central Del Caribe Escuela De Medicina in 1993.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $130.65 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.24 and an average copayment of 25.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.