Healthcare Provider Details

I. General information

NPI: 1528974300
Provider Name (Legal Business Name): GABRIEL LOPEZ-GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 MERCER UNIVERSITY DR APT 307
ATLANTA GA
30341-4115
US

IV. Provider business mailing address

3001 MERCER UNIVERSITY DR APT 307
ATLANTA GA
30341-4115
US

V. Phone/Fax

Practice location:
  • Phone: 787-981-2339
  • Fax:
Mailing address:
  • Phone: 787-981-2339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH036456
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: