Diwata Enriquez Lopez, PT is a
Physical Therapist based in Crescent City, Florida. Diwata Enriquez Lopez is licensed to practice in Florida (license number PT20977) and her current practice location is
405 S Summit St, Crescent City, Florida. She can be reached at her office (for appointments etc.) via phone at
(386) 698-4720.
NPI number for Diwata Enriquez Lopez is 1972748275 and her current mailing address is 5204 Ederia Way, Bakersfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972748275.
Healthcare Provider's Profile
Full Name | Diwata Enriquez Lopez |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 405 S Summit St, Crescent City, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972748275
- Provider Enumeration Date: 12/16/2008
- Last Update Date: 01/18/2024
Medical Identifiers
Medical identifiers for Diwata Enriquez Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972748275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT20977 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diwata Enriquez Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diwata Enriquez Lopez, PT 5204 Ederia Way, Bakersfield, CA 93313 Ph: (386) 698-4720 | Diwata Enriquez Lopez, PT 405 S Summit St, Crescent City, FL 32112-3047 Ph: (386) 698-4720 |
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