Edward Alcazar-Lopez
Individual provider Active NPI Basic Emergency Medical Technician · Fort Stewart, GA
NPI 1629478102 · NPPES record last updated Sep 3, 2014
Key facts
- NPI
- 1629478102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5641 - Phone
- (650) 307-4093
- NPI assigned
- Sep 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (650) 307-4093
Other providers in Fort Stewart, GA
- Teri Aiello
- Crystal Ailes
- Raymond Joseph Akerman Jr.
- Charity Omejiyovbi Akpolo
- Julie Albert
- Ralinson Alcius
- Marie Alexandra Alexander
- Adrienne Brentzel Allen
- Elizabeth Sue Allen
- Ian M Allen
All providers in Fort Stewart, GA · Basic Emergency Medical Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.