MEDICARE: JOHN LOPERA 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
1	208M00000X	Hospitalist Physician	ME91277	FL
2	207R00000X	Internal Medicine Physician	ME91277	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
2	50338	OTHER	FL	BCBS
3	P00307191	OTHER		RR MCR
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417938689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LOPERA MD

Provider Business Mailing Address
First Line	:	3325 FOREST HILL BLVD STE A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5812
Country	:	US
Telephone Number	:	561-227-5597
Fax Number	:	561-249-6162

Provider Business Practice Location Address
First Line	:	3325 FOREST HILL BLVD STE A
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5812
Country	:	US
Telephone Number	:	561-227-5597
Fax Number	:	561-249-6162

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	01/03/2025

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Directions to “ JOHN LOPERA MD” Practice Location

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