Eleazar Lopez

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0086743 Issued in TX

Practice address

103A S Kain St
Rio Grande City, TX 78582-4221

Phone

(956) 488-9616

Fax

(956) 488-0572

NPI assigned

Apr 2, 2007

Last updated

May 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eleazar Lopez

  dba Western Alliance Mobility

  • Durable Medical Equipment & Medical Supplies
  • Rio Grande City, TX
  • NPI 1114191483
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1194846717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "address_2": "103-A KAIN STREET",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785820827",
            "telephone_number": "956-488-9616",
            "fax_number": "956-488-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103A S KAIN ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824221",
            "telephone_number": "956-488-9616",
            "fax_number": "956-488-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELEAZAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0086743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180887501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180887502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hal D. Lerman, D.D.S.
• LJP Northstar (Lone Star Rehab)
• Adriana Lopez
• Alejandra Lopez
• Deyanira Lopez, PA-C
• Elizabeth Lopez
• Jaime Lopez
• Jennifer Lee Lopez, OD
• Jesus Lopez
• Jose Luis Lopez

• Durable Medical Equipment & Medical Supplies in Rio Grande City, TX
• Providers in Rio Grande City, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.