DR. RAFAEL ROBERTO LOPEZ (NPI# 1124006358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124006358 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL ROBERTO LOPEZ |
| Credential | M.D. |
| Practice Address |
3347 State Road 7 Suite 101 Wellington FL 33449-8095 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 5617902111 |
| Practice Fax Number | 5617900893 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME58240 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 064063800 | 05 | |
| FL | RR MEDICARE | P01606329 | 01 |
| FL | CAREPLUS | 1004922 | 01 |
| FL | BCBS | 11453 | 01 |
| FL | AETNA | 4200237 | 01 |
| FL | WELLCARE | 1249241 | 01 |
| FL | DIMENSION HEALTH | 7851 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898681 | Rafael Lopez | Physical Therapist | 440 N Camino Mercado, Casa Grande, AZ 85122-5749 | 2020-10-14 |
| 1164877346 | Rafael A Lopez | Specialist/Technologist, Other | 12345 Jones Rd Ste 102, Houston, TX 77070-4961 | 2016-04-26 |
| 1902164056 | Rafael Lopez | Pediatrics | 140 Cabrini Blvd, Apt 114, New York, NY 10033-3437 | 2012-04-26 |
| 1801081328 | Rafael A Lopez | Physical Therapist | 2721 Sw 137th Ave Ste 107, Miami, FL 33175-6355 | 2007-09-07 |
| 1134249071 | Rafael Alejandro Lopez | Chiropractor | 30 Thunderhead Trail, Sonoita, AZ 85637 | 2007-03-31 |
| 1457491714 | Rafael Lopez | Clinical Neuropsychologist | 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 | 2007-02-07 |
| 1700890936 | Rafael A Lopez | Specialist | 2034 Chestnut St, Montgomery, AL 36106-1111 | 2006-07-27 |
| 1497740849 | Rafael A Lopez | Orthopaedic Surgery | 440 N State Road 7 Ste 103, Royal Palm Beach, FL 33411 | 2005-09-13 |
| 1386138790 | Rafael Lopez | Technician | 4350 Arville St Ste 200, Las Vegas, NV 89103-3811 | 2018-06-19 |
| 1639697923 | Rafael Lopez | Case Manager/Care Coordinator | 5628 E Slauson Ave, Commerce, CA 90040-2922 | 2017-09-06 |
| Street Address |
3347 STATE ROAD 7 SUITE 101 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917541 | Chandra Venugopal | Internal Medicine | 3347 State Road 7, Suite 203, Wellington, FL 33449-8095 | 2005-07-27 |
| 1457893869 | Holistic Health Palm Beach | Preferred Provider Organization | 3347 State Road 7, Suite 200, Wellington, FL 33449-8095 | 2016-11-16 |
| 1306296827 | Medcare Transitional Services LLC | Internal Medicine | 3347 State Road 7, Suite 200, Wellington, FL 33449-8095 | 2016-06-15 |
| 1306215868 | Genesiscare Usa of Florida LLC | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8148 | 2015-09-15 |
| 1164809257 | Wiledade Augustin | Nurse Practitioner | 3347 State Road 7, Suite 200, Wellington, FL 33449-8095 | 2015-04-28 |
| 1881083368 | Shariffa Gunawardene | Nurse Practitioner | 3347 State Road 7, Suite 206, Wellington, FL 33449-8148 | 2015-01-21 |
| 1750723045 | Internal Medicine of Palm Beach LLC | Internal Medicine | 3347 State Road 7, Suite 206, Wellington, FL 33449-8095 | 2013-07-27 |
| 1225379787 | Acute Medical Care Hospitalist LLC | Internal Medicine | 3347 State Road 7, Suite 206, Wellington, FL 33449-8095 | 2013-03-08 |
| 1740551183 | Haydee Victoria Rodriguez | Registered Nurse | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2012-01-17 |
| 1083984744 | Sfm Urology II | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2012-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545665 | Jerry Herbert Singer | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2005-06-01 |
| 1871964916 | 21st Century Oncology LLC | Urology | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2015-10-15 |
| 1306215868 | Genesiscare Usa of Florida LLC | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8148 | 2015-09-15 |
| 1083984744 | Sfm Urology II | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2012-01-11 |
| 1285913848 | All Women Urology Pa | Urology | 10115 Forest Hill Blvd Ste 101, Wellington, FL 33414-6178 | 2011-08-12 |
| 1861624801 | South Florida Medicine LLC | Urology | 3343 State Road 7, Wellington, FL 33449 | 2009-08-10 |
| 1154593689 | Sean Lall Sawh | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2008-03-25 |
| 1588875678 | Fred Muhletaler | Urology | 3347 State Road 7, Suite 101, Wellington, FL 33449-8095 | 2007-05-24 |
| 1558379313 | Hugo Hernandez | Urology | 10111 W Forest Hill Blvd, #200, Wellington, FL 33414-6108 | 2006-08-04 |
| 1629096540 | Georgis Patsias Md Pa | Urology | 1397 Medical Park Blvd, Suite 260, Wellington, FL 33414-6108 | 2006-07-18 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
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| 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.