MR. MARCELO MANUEL LOPEZ HERNANDEZ (NPI# 1134593288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134593288 |
| Entity Type | Individual |
| Full Name | MR. MARCELO MANUEL LOPEZ HERNANDEZ |
| Credential | D.D.S. |
| Practice Address |
Blvd. Bellas Artes #341-1 Colonia Nueva Tijuana Tijuana CA 22435 |
| Mailing Address |
4364 Bonita Rd. #233 Bonita CA 91902-1421 |
| Practice Telephone | 0115266462 |
| Mailing Telephone | 0115266462 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 871239 | ZZ | Dental Providers |
| Street Address |
BLVD. BELLAS ARTES #341-1 COLONIA NUEVA TIJUANA |
| City | TIJUANA |
| State | CA |
| Zip Code | 22435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962964072 | Rosalia Estrada | Dentist | 15075 Blvd Industrial, Tijuana, BAJA CALIFORNIA 22435 | 2019-04-05 |
| 1669955019 | Raven Custalow | Nurse Practitioner | 17452 Richmond Rd, Callao, VA 22435 | 2018-09-12 |
| 1437640919 | Stephanie Lopez | Dentist | Ave Jose Portillo #1460 Ste 3a, Tijuana, BAJA CALIFORNIA 22435 | 2018-05-21 |
| 1215430178 | Alejandro Zavala | Dentist | Ave Bellas Artes #316, Tijuana, BAJA CALIFORNIA 22435 | 2018-03-16 |
| 1629518576 | Manuel Lopez Garibay | Dentist | Blvd Bellas Artes #341, Ste 1 Otay, Tijuana, BAJA CALIFORNIA 22435 | 2017-02-26 |
| 1205284650 | Ana Lilia Chavez Espinoza | Dentist | Bellas Artes #19213-local Ll, Col. Nueva Tijuana, Tijuana, BAJA CALIFORNIA 22435 | 2016-05-26 |
| 1518083930 | Beverly J Thomas | Pharmacist | 17422 Richmond Rd, Callao, VA 22435 | 2007-03-21 |
| 1982669081 | Michael P. Chatterson | Family Medicine | 17452 Richmond Road, Callao, VA 22435 | 2006-04-20 |
| 1053834812 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17422 Richmond Rd, Po Box 1059, Callao, VA 22435 | 2017-07-24 |
| 1962941278 | Kingdomnaires Personal Transport Services, LLC | Non-emergency Medical Transport (VAN) | 1836 Hampton Hall Rd, Callao, VA 22435 | 2017-02-20 |
| Find all providers in zip 22435 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548803554 | Hospital Mexico De Bc Sa De Cv | Dentist | Paseo Tijuana No. 9077 Col. Empleados, Tijuana, BAJA CALIFORNIA 22010 | 2019-10-22 |
| 1912552969 | Fernando Cadena | Dentist | Brasil 183, Local 6, Tijuana, BAJA CALIFORNIA 22040 | 2019-08-07 |
| 1538720354 | Biodental Care S.c. | Dentist | C. Luis Cabrera #2071-301, Zona Urbana Rio Tijuana, Tijuana, BAJA CALIFORNIA 22010 | 2019-06-24 |
| 1760960033 | Melissa Macias | Dentist | Tecnologico #14527 L 34, Tijuana, BAJA CALIFORNIA 22427 | 2018-07-30 |
| 1013495381 | Ana Acosta | Dentist | Via Rapida Oriente #4222, Tijuana, BAJA CALIFORNIA 22110 | 2018-07-30 |
| 1962980235 | Daniela Mata | Dentist | Jose Clemente Orozco #2330, Tijuana, BAJA CALIFORNIA 22010 | 2018-07-30 |
| 1386137669 | David Gomez | Dentist | Ave Mutualismo 931-b, Tijuana, BAJA CALIFORNIA 22000 | 2018-06-11 |
| 1477044303 | Rafael Chavez | Dentist | Santiago Arguello #736, Plaza Santa Cecilia, Tijuana, BAJA CALIFORNIA 22000 | 2018-05-26 |
| 1518454297 | Roberto Ruiz | Dentist | Calle 4ta #7800 - 4, Tijuana, BAJA CALIFORNIA 22000 | 2018-04-18 |
| 1720585961 | Silvia V Cobarrubias | Dentist | 1427 Melchor Ocampo, Tijuana, BAJA CALIFORNIA 22000 | 2018-04-12 |
| Find all providers in TIJUANA | ||||
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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.