| Edgardo Rivera Lopez, PT, DPT, CSCS | |
|
4301 Broadway, San Antonio, TX 78209-6318 | |
| (210) 829-6017 | |
| Not Available |
| Full Name | Edgardo Rivera Lopez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Sports |
| Location | 4301 Broadway, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477288900 | NPI | - | NPPES |
| 1362473 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | 1362473 (Texas) | Primary |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgardo Rivera Lopez, PT, DPT, CSCS 215 N Loop 1604 E, San Antonio, TX 78232-1276 Ph: (787) 414-6576 | Edgardo Rivera Lopez, PT, DPT, CSCS 4301 Broadway, San Antonio, TX 78209-6318 Ph: (210) 829-6017 |
Sarah F Simpson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27880 Riata Ranch Dr, San Antonio, TX 78261 Phone: 210-870-9430 | |
Elizabeth Brotherton, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Ne Loop 410 Ste 612, San Antonio, TX 78216 Phone: 210-308-2900 | |
Jennifer Duggins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20330 Huebner Rd, Ste 102, San Antonio, TX 78258 Phone: 210-725-3700 | |
Neha Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Huebner Rd Ste 275, San Antonio, TX 78240 Phone: 210-561-7000 | |
Jennifer G Classy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18323 Sonterra Pl, San Antonio, TX 78258 Phone: 210-495-4606 Fax: 210-495-4606 | |
Fnu Praseetha Ullal Kolap, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Fredericksburg Rd Apt 1319, San Antonio, TX 78229 Phone: 708-571-9504 | |
Jesus Alcala, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 Phone: 210-610-4480 |