SERGIO LOPEZ (NPI# 1104841238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104841238 |
Entity Type | Individual |
Full Name | SERGIO LOPEZ |
Credential | MD |
Practice Address |
1150 45th St West Palm Beach FL 33407-2361 |
Practice Telephone | 5615145300 |
Practice Fax Number | 5615145540 |
Mailing Telephone | 5615145300 |
Mailing Fax Number | 5618375332 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2012-12-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME71762 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 251507500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154619088 | Sergio Enrique Lopez | Dentist | 302 Bob Bullock Loop, Apt. 8101, Laredo, TX 78043-4265 | 2011-07-12 |
1730395096 | Sergio Lopez | Case Manager/Care Coordinator | 16700 Yukon Ave, Apt 205, Torrance, CA 90504-1300 | 2007-05-15 |
1104040344 | Sergio Lopez | Case Manager/Care Coordinator | 601 North Market Blvd, Ste 100, Sacramento, CA 95834 | 2007-04-12 |
1376573907 | Sergio J. Lopez | Registered Nurse | 7535 Summerdale Dr, Rosenberg, TX 77469-4629 | 2006-07-03 |
1548523301 | Sergio Lopez | Home Health Aide | 5101 Wisconsin Ave Nw, Suite 250, Washington, DC 20016-4120 | 2012-06-18 |
1235432386 | Sergio Lopez | Ambulance | Cond Tabaiba Gdns, Ave Hungria # 276, Ponce, PR 00716-1384 | 2010-12-13 |
1265441125 | Sergio Max Lopez | Dentist | 3102 W Waters Ave, Suite 101, Tampa, FL 33614-2882 | 2006-08-07 |
Street Address |
1150 45TH ST |
City | WEST PALM BEACH |
State | FL |
Zip Code | 33407-2361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649245168 | Elaine King Mitchell | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407-2361 | 2006-02-19 |
1245886779 | Corina Hardcastle | Dental Hygienist | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-08-12 |
1053978387 | William C Draper | Student in an Organized Health Care Education/Training Program | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-05-22 |
1225691116 | Karen Hirsch | Social Worker | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-04-17 |
1992264519 | Anna Balieiro Martins | Dental Hygienist | 1150 45th St, West Palm Beach, FL 33407-2361 | 2019-03-13 |
1518449313 | Marjorie Collins | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407 | 2018-08-29 |
1578049383 | Vernadette Fisher | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407-2361 | 2018-07-15 |
1699220277 | Alisha Christie Elizabeth Azemar | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407 | 2016-08-24 |
1497122022 | Jesus Edgardo Diaz | Spec/Tech, Pathology | 1150 45th St, Room L-200, West Palm Beach, FL 33407-2361 | 2015-08-31 |
1902201981 | Johanne Eustache Saint Louis | Nurse Practitioner | 1150 45th St, West Palm Beach, FL 33407-2361 | 2014-11-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
Find all providers in zip 33407 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306193495 | Jacques H Guiteau Md Inc. | Family Medicine | 1233 45th St Ste B4, West Palm Beach, FL 33407-2162 | 2012-08-08 |
1073626859 | Daisy Merey | Family Medicine | 200 Butler Street, Suite #101, West Palm Beach, FL 33407-6036 | 2006-08-16 |
1982923801 | Daisy Merey Md Phd Pa | Family Medicine | 200 Butler Street, Suite 101, West Palm Beach, FL 33407 | 2010-05-18 |
1679512511 | Richard Daniel Birnberg | Family Medicine | 1150 45th St, West Palm Beach, FL 33407-2361 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
Find all providers with the same taxonomy |
City | WEST PALM BEACH |
Zip Code | 33407 |
Please comment or provide details below to improve the information on SERGIO LOPEZ.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.