Jorge Lopez, RN
Individual provider Active NPI Registered Nurse · Roma, TX
NPI 1639712862 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1639712862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 760304 (TX)
- Practice address
- 4902 W Highway 83
Ste 2
Roma, TX 78584-7858 - Phone
- (956) 519-3227
- NPI assigned
- Oct 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 760304 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caridad Healthcare Inc | Current |
Accepting new patients | |
| Caridad Healthcare Inc | Current |
Accepting new patients |
Locations
4902 W Highway 83
Apt 2
Roma, TX 78584
Phone (956) 519-3227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 760304 | TX | Yes |
Addresses
Primary practice location
4902 W Highway 83
Ste 2
Roma, TX 78584-7858
Mailing address
258 East Las Palmas
La Grulla, TX 78548
Phone (956) 437-7911
Other providers in Roma, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. 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.