| Jose A Lopez M.d P.a | |
|
30 Remington Rd Suite 2 Oakland FL 34787-9797 | |
| (407) 392-1919 | |
| (407) 392-1917 |
| Full Name | Jose A Lopez M.d P.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Remington Rd, Oakland, Florida |
| Authorized Official Name and Position | Jose A Lopez (OWNER) |
| Authorized Official Contact | 4073921919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A Lopez M.d P.a 30 Remington Rd Suite 2 Oakland FL 34787-9797 Ph: (407) 392-1919 | Jose A Lopez M.d P.a 30 Remington Rd Suite 2 Oakland FL 34787-9797 Ph: (407) 392-1919 |
| NPI Number | 1861705725 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 02/23/2011 |
| Medicare PECOS PAC ID | 1850572900 |
|---|---|
| Medicare Enrollment ID | O20110222000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861705725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86165 (Florida) | Primary |
| Provider Name | Jose Alfonso Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306882196 PECOS PAC ID: 4385657030 Enrollment ID: I20060724000268 |
| Provider Name | Ysliani Roman Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699473397 PECOS PAC ID: 0648639450 Enrollment ID: I20230711001814 |
| Provider Name | Wildelys Santos Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932780517 PECOS PAC ID: 3476905332 Enrollment ID: I20240117001208 |
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