Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edwin Bannacek Lopez, MD

Individual provider General Practice Physician · NPI 1164920807

Dr. Edwin Bannacek Lopez, MD is a General Practice in Guayama, Puerto Rico. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
16
Licensed in
PR
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Calle Francisco G Bruno #48 Oeste Esquina San Antonio
Guayama, PR 00784-0078
Phone: (787) 409-6657
Fax: (787) 409-6657

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 19831 (PR)

Record details

NPI number1164920807
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 29, 2018
Last updated in NPPESDecember 27, 2022
Certification dateDecember 23, 2022
Mailing addressPo Box 13, Guayama, PR 00785-0013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Guayama