| Dr Luis Angel Lopezrivera, MD | |
|
3189 Colonel Greg Malloy Rd, Crestview, FL 32539-6705 | |
| (850) 683-4042 | |
| Not Available |
| Full Name | Dr Luis Angel Lopezrivera |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3189 Colonel Greg Malloy Rd, Crestview, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174713184 | NPI | - | NPPES |
| 007626400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 17506 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN390 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Angel Lopezrivera, MD 3116 Border Creek Rd, Crestview, FL 32539-9060 Ph: (850) 333-7575 | Dr Luis Angel Lopezrivera, MD 3189 Colonel Greg Malloy Rd, Crestview, FL 32539-6705 Ph: (850) 683-4042 |
Joseph Phillip Peter, MD General Practice Medicare: Medicare Enrolled Practice Location: 332 Medcrest Drive, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102 | |
Jennifer Vital Whitfield, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 800 Hospital Dr, Crestview, FL 32539 Phone: 850-682-1164 Fax: 850-682-5302 |