Julio B Lopez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2290 Issued in FL

Practice address

315 S W C Owens Ave
Clewiston, FL 33440-3637

Phone

(863) 983-7813

Fax

(863) 983-9604

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1144289133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 S TIFFANY DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073241",
            "telephone_number": "561-844-9443",
            "fax_number": "561-844-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S W C OWENS AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403637",
            "telephone_number": "863-983-7813",
            "fax_number": "863-983-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JULIO",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290257500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Langston, APRN
• Liana Leira Ledezma Reyes
• Leidys Care Group Home Corp
• Boris Leyva Lopez, BCBA
• Jose R Llossas, R.D,L.D.
• Pedro Loreto
• Laura Macias, LDO
• Sonia Marie Maddalena, MD
• Anthony R Marks, MD
• Marlin Emergency Physicians

• Physician Assistant in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.