Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Octavio Jordan Lopez, MD

Individual provider Specialist · NPI 1760475024

Dr. Octavio Jordan Lopez, MD is a Gastroenterology in Bayamon, Puerto Rico. Qualified in 1969, 57 years ago. Accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
57
Licensed in
PR
In the registry since
2005
Specialties on file
2
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.

Edif Medico Santa Cruz Ste 313
Bayamon, PR 00961-6910
Phone: (787) 780-7832
Fax: (787) 798-1445

No coordinates on file. Search this address in Google Maps

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 003658 (PR)
Specialist Taxonomy 174400000X · Licence 3658 (PR)

Record details

NPI number1760475024
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1969 (57 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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