M I Lopez MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

M I LOPEZ MD, PA

Practice address

305 Memorial Medical Pkwy
Suite 303
Daytona Beach, FL 32117-5168

Phone

(386) 672-8101

Fax

(386) 672-8102

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Maria I Lopez, M.D.

Title

President

Phone

(386) 672-8101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1346527470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PARKWAY",
            "address_2": "SUITE 303",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-672-8101",
            "fax_number": "386-672-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 303",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175168",
            "telephone_number": "386-672-8101",
            "fax_number": "386-672-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M I LOPEZ MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-672-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynch-Bass, L.M.F.T.
• Lavonne Annette Lynch, PHD., MAC, CCJS, LPC
• Paige Lynch, DC
• Danielle Lyonais
• Meredith Kelly Lyons, PA-C
• Sari Jo Mabe, MH12617
• Heida K Mabifa, COTA/L
• Leah N Macdowell, ARNP
• Margaret Fanning Macduffie, L.M.H.C.
• Roderick M Macintyre III, D.M.D.; M.S.

• Medical Specialty Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.