Active NPI
Eduardo Lopez, CSFA
- Surgery Physician
- San Antonio, TX
National Provider Identifier
1639899149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 198004
- Practice address
- 520 Madison Oak Dr
San Antonio, TX 78258-3913 - Phone
- (210) 297-4000
- NPI assigned
- Sep 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 198004 | TX | Primary |
Addresses
Primary practice location
520 Madison Oak Dr
San Antonio, TX 78258-3913
Mailing address
1427 Polydora
San Antonio, TX 78245-4739
Phone (210) 364-0078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198004 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1639899149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 POLYDORA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782454739",
"telephone_number": "210-364-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MADISON OAK DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583913",
"telephone_number": "210-297-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "EDUARDO",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "198004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.