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NPI Code Detail

MEDICARE: DR. ANA PATRICIA LOPEZ M.D

MEDICARE: DR. ANA PATRICIA 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
1207R00000XInternal Medicine PhysicianME85282FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134132434
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANA PATRICIA LOPEZ M.D
Provider Business Mailing Address
First Line : 6259 NW 171ST ST
Second Line :
City : HIALEAH
State : FL
Zip : 33015-4673
Country : US
Telephone Number : 305-698-8639
Fax Number :
Provider Business Practice Location Address
First Line : 2589 N STATE ROAD 7
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-2778
Country : US
Telephone Number : 954-714-1264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 12/30/2020

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