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NPI Code Detail

MEDICARE: DR. GILBERT M LOPEZ MD

MEDICARE: DR. GILBERT M LOPEZ MD
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
1207L00000XAnesthesiology PhysicianM-1399GU

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
156543OTHERPIN

General Provider Information

NPI Number : 1265597579
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GILBERT M LOPEZ MD
Provider Business Mailing Address
First Line : 850 GOVERNOR CARLOS CAMACHO ROAD
Second Line :
City : OKA TAMUNING
State : GU
Zip : 96913-3128
Country : US
Telephone Number : 671-647-2418
Fax Number : 671-649-5508
Provider Business Practice Location Address
First Line : 850 GOVERNOR CARLOS CAMACHO ROAD
Second Line :
City : OKA TAMUNING
State : GU
Zip : 96913-3128
Country : US
Telephone Number : 671-647-2418
Fax Number : 671-649-5508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 06/12/2025

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Directions to “ DR. GILBERT M LOPEZ MD” Practice Location

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