MEDICARE: MR. REMBERTO LOPEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	Q1206	TX
2	363AM0700X	Medical Physician Assistant	PA9102608	FL
3	390200000X	Student in an Organized Health Care Education/Training Program	BP10040024	TX
4	207Q00000X	Family Medicine Physician	ME120649	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558392134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. REMBERTO LOPEZ M.D.

Provider Business Mailing Address
First Line	:	814 SW PINE ISLAND RD STE 306
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-1943
Country	:	US
Telephone Number	:	239-984-5610
Fax Number	:	239-984-5563

Provider Business Practice Location Address
First Line	:	949 CHIQUITA BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-2143
Country	:	US
Telephone Number	:	239-984-5610
Fax Number	:	239-984-5563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	04/29/2020

Similar Medicare Providers

1811858848 — OSMANY ULLOA
Practice Location Address:

971 CHIQUITA BLVD S
CAPE CORAL, FL
33991-2143

Practice Phone: 305-930-3380
Practice Fax:

1285625889 — KRISTA M ZIVKOVIC D.O.
Practice Location Address:

949 CHIQUITA BLVD S
CAPE CORAL, FL
33991-2143

Practice Phone: 239-772-7202
Practice Fax: 239-242-0457

1932524113 — ZIVKOVIC FAMILY MEDICINE, P.A.
Practice Location Address:

949 CHIQUITA BLVD S
CAPE CORAL, FL
33991-2143

Practice Phone: 239-772-7202
Practice Fax: 239-424-0457

1588295919 — MAIRELIS DE LA CRUZ HERNANDEZ
Practice Location Address:

971 CHIQUITA BLVD S
CAPE CORAL, FL
33991-2143

Practice Phone: 786-351-4243
Practice Fax:

1124704507 — DE LA CRUZ HEALTHCARE CORP
Practice Location Address:

971 CHIQUITA BLVD S
CAPE CORAL, FL
33991-2143

Practice Phone: 786-351-4243
Practice Fax:

1659471522 — MR. JEREMY ARTHUR MINNICK LMT
Practice Location Address:

2143 NW 17TH AVE
CAPE CORAL, FL
33993-3101

Practice Phone: 239-671-9900
Practice Fax: 239-772-0146

Directions to “ MR. REMBERTO LOPEZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.