Luis Alfonso Lopez, MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LUIS ALFONSO LOPEZ, MD, PA

Practice address

20642 Stone Oak Parkway
Ste 105
San Antonio, TX 78258

Phone

(210) 650-0814

Fax

(210) 650-0926

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Luis A Lopez, MDNPI 1083600035

Title

President

Phone

(210) 650-0814

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Little Buddies Pediatric Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Alfonso Lopez, MD

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1083600035
  NPD Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1508050238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20642 STONE OAK PARKWAY",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-650-0814",
            "fax_number": "210-650-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20642 STONE OAK PARKWAY",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-650-0814",
            "fax_number": "210-650-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS ALFONSO LOPEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-650-0814",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1530",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732737-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173273703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732737-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173273704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Buddies Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Buddies Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary L Lugo, P.T.,
• Paola Fernanda Lugo
• Priscilla Lugo, SLPA
• Victoria Lugo
• Edwin Lui, DO
• Luis Bieler, MD, PA
• Luis Fernando Bieler, MD, PA
• Luis Gaston Prieto, M.D., P.a.
• Luis Muzza MD Facog PA
• Luisant Home Healthcare LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.