Luis Angel Lopezrivera in Crestview - General Practice
Luis Angel Lopezrivera - NPI 1174713184
Luis Angel Lopezrivera is a General Practice in Crestview, Florida. Luis Angel Lopezrivera practices all healthcare services and medical treatments related to General Practice. The NPI Number for Luis Angel Lopezrivera is 1174713184. The last update date is 2014-02-11.
Luis Angel Lopezrivera's current location address is 3189 Colonel Greg Malloy Rd, Crestview, Florida. You can contact this provider via phone number 8506834042. The mailing address for Luis Angel Lopezrivera is 3189 Colonel Greg Malloy Rd, Crestview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis Angel Lopezrivera |
|---|---|
| Address | 3189 Colonel Greg Malloy Rd, Crestview, Florida |
| Phone Number | 8506834042 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174713184 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2014-02-11 |
Provider Mailing Address Detail
| Address | 3189 Colonel Greg Malloy Rd |
|---|---|
| City | Crestview |
| State | Florida (FL) |
| Post Code | 325396705 |
| Phone Number | 8506834042 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 17506 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7626400 | FL | -- |
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What is the unique identifier code issued to Luis Angel Lopezrivera by the Centers for Medicare & Medicaid Services?
The Luis Angel Lopezrivera has been assigned the NPI (National Provider Identifier) 1174713184. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Luis Angel Lopezrivera?
The Luis Angel Lopezrivera is situated at 3189 Colonel Greg Malloy Rd, in the city of Crestview, state of FL, with the zip code 325396705.
What is Luis Angel Lopezrivera's area of expertise and its corresponding taxonomy classification?
The Luis Angel Lopezrivera's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174713184 to Luis Angel Lopezrivera?
The Centers for Medicare & Medicaid Services originally issued the 1174713184 to Luis Angel Lopezrivera on 2007-07-26.
When was the Luis Angel Lopezrivera's information last updated?
The Luis Angel Lopezrivera's information was last updated on 2014-02-11.