| Luis J Lopez Md Pa | |
|
4700 N. Habana Ave Suite 701 Tampa FL 33614-7122 | |
| (813) 324-5888 | |
| (813) 374-8891 |
| Full Name | Luis J Lopez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4700 N. Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Luis J Lopez (PHYSICIAN) |
| Authorized Official Contact | 8137929752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis J Lopez Md Pa 4700 N Habana Ave Ste 701 Tampa FL 33614-7122 Ph: (813) 324-5888 | Luis J Lopez Md Pa 4700 N. Habana Ave Suite 701 Tampa FL 33614-7122 Ph: (813) 324-5888 |
| NPI Number | 1538341789 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 0042383663 |
|---|---|
| Medicare Enrollment ID | O20080715000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538341789 | NPI | - | NPPES |
| 275993400 | Medicaid | FL | |
| ME93505 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Luis J Lopez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346342201 PECOS PAC ID: 1557386919 Enrollment ID: I20051014000037 |
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