Mayra Alejandra Lopez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10326 Issued in TX

Practice address

4318 Moonlight Way
San Antonio, TX 78230-5000

Phone

(210) 558-8878

NPI assigned

Nov 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Valley Med Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Brownsville, TX
  • NPI 1518404631
  Medicare reassignment
• Juan Carlos Garza MD PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1639419153
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1265945125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 PECOS ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727417",
            "telephone_number": "956-821-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 MOONLIGHT WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305000",
            "telephone_number": "210-558-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MAYRA",
        "middle_name": "ALEJANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Lopez, BCBA
• Maritza Martinez Lopez, PT, DPT
• Maritza Nayeli Lopez
• Mary Helen Lopez, LCSW
• Mary Helen A. Lopez, L.C.S.W.
• Meagan Lopez
• Megan Lopez, RN
• Melanie Lopez
• Micaela Lopez
• Michelle Rodriguez Lopez

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.