Gustavo A Lopez, MD | |
9169 W Van Buren St, Tolleson, AZ 85353-2942 | |
(602) 283-5732 | |
(602) 314-4579 |
Full Name | Gustavo A Lopez |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 9169 W Van Buren St, Tolleson, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023247202 | NPI | - | NPPES |
441076 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42153 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Family Medicine Llc | 5092007427 | 6 |
Entity Name | American Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477908085 PECOS PAC ID: 5092007427 Enrollment ID: O20160706000435 |
Mailing Address | Practice Location Address |
---|---|
Gustavo A Lopez, MD 9169 W Van Buren St, Tolleson, AZ 85353-2942 Ph: (602) 283-5732 | Gustavo A Lopez, MD 9169 W Van Buren St, Tolleson, AZ 85353-2942 Ph: (602) 283-5732 |
Dr. Raymond R. Valdivia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9550 W Van Buren St, Suite 1, Tolleson, AZ 85353 Phone: 623-936-7960 Fax: 623-936-7980 | |
Carmen Guerra Sosa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9169 W Van Buren St, Tolleson, AZ 85353 Phone: 602-283-5762 | |
Alice Nduku Mwanza, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 3023 S 90th Dr, Tolleson, AZ 85353 Phone: 623-256-0851 |