NPIMap

Organization Active NPI

Nelson Lopez MD PA

  • Geriatric Medicine (Family Medicine) Physician
  • Boynton Beach, FL
National Provider Identifier
1417135997
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME0027191 Issued in FL
Legal business name
NELSON LOPEZ MD PA
Practice address
2609 W Woolbright Rd
Suite 5
Boynton Beach, FL 33436-6634
Phone
(561) 734-4535
Fax
(561) 734-7530
NPI assigned
Feb 6, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Nelson Lopez, M.D
Title
Physician
Phone
(561) 734-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME0027191 FL Primary

Addresses

Primary practice location

2609 W Woolbright Rd
Suite 5
Boynton Beach, FL 33436-6634

Mailing address

2609 W Woolbright Rd
Suite 5
Boynton Beach, FL 33436-6634
Phone (561) 734-4535

Other identifiers 1

IdentifierTypeStateIssuer
K1646OtherFLMEDICARE PROVIDER

Other names 1

  • NELSON LOPEZ MD Other name

National Provider Directory

National Provider Directory

Locations

2609 W Woolbright Rd
Ste 5
Boynton Beach, FL 33436
Phone (561) 272-3560

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1417135997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD",
            "address_2": "SUITE 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-734-4535",
            "fax_number": "561-734-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 W WOOLBRIGHT RD",
            "address_2": "SUITE 5",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366634",
            "telephone_number": "561-734-4535",
            "fax_number": "561-734-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON LOPEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-734-4535",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0027191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "K1646",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NELSON LOPEZ MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.