| Remberto Lopez Md Pa | |
|
814 Sw Pine Island Rd Ste 306 Cape Coral FL 33991-1943 | |
| (239) 984-5610 | |
| (239) 984-5563 |
| Full Name | Remberto Lopez Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 814 Sw Pine Island Rd Ste 306, Cape Coral, Florida |
| Authorized Official Name and Position | Remberto Lopez (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2399845610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Remberto Lopez Md Pa 814 Sw Pine Island Rd Ste 306 Cape Coral FL 33991-1943 Ph: (239) 984-5610 | Remberto Lopez Md Pa 814 Sw Pine Island Rd Ste 306 Cape Coral FL 33991-1943 Ph: (239) 984-5610 |
| NPI Number | 1871015693 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0749555084 |
|---|---|
| Medicare Enrollment ID | O20171012000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871015693 | NPI | - | NPPES |
| 1558392134 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME120649 (Florida) | Primary |
| Provider Name | Remberto Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558392134 PECOS PAC ID: 0345434643 Enrollment ID: I20160226000347 |
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