Marco a. Lopez, Jr. M,D.P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E2045 Issued in TX

Legal business name

MARCO A. LOPEZ, JR. M,D.P.A.

Practice address

4499 Medical Dr Ste 306
San Antonio, TX 78229-3851

Phone

(210) 614-4963

Fax

(210) 615-1758

NPI assigned

Oct 20, 2010

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marco A. Lopez Jr., M.D.

Title

Owner

Phone

(210) 614-4963

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1134439383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293851",
            "telephone_number": "210-614-4963",
            "fax_number": "210-615-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293851",
            "telephone_number": "210-614-4963",
            "fax_number": "210-615-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO A. LOPEZ, JR. M,D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-614-4963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marichel L Marcolino, M.D.
• Maria Leticia Marcon, LPC
• Eleanor Lee Marcos, RN

• Obstetrics & Gynecology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.