Monica M Medina Lopez

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

5122 Staplehurst St
San Antonio, TX 78228-3656

Phone

(361) 489-6246

NPI assigned

Jul 21, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1578136255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 STAPLEHURST ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 STAPLEHURST ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283656",
            "telephone_number": "361-489-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA LOPEZ",
        "first_name": "MONICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicor Healthcare, Inc
• Mediflow
• Medina County Emergency Services District 1
• Medina County Hospital District
• Medina County Medical Equipment Co Inc
• Rebecca Marie Medina Perez, LPC
• Medina Pharmacy, LLC
• Adlai Medina
• Alejandra Yaizeth Medina, OTR
• Alice Medina, LCDC

• Independent Duty Medical Technicians in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Independent Duty Medical Technicians in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.