Active NPI
Marjorie F. Lopez
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1649394255
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0064164
- Legal business name
- MARJORIE F. LOPEZ
- Practice address
- 1900 Pleasanton Rd Ste 2
San Antonio, TX 78221-1252 - Phone
- (210) 923-9992
- Fax
- (210) 695-9015
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marjorie Flores Lopez
- Title
- Owner
- Phone
- (210) 923-9992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0064164 | TX | Primary |
Addresses
Primary practice location
1900 Pleasanton Rd Ste 2
San Antonio, TX 78221-1252
Mailing address
1900 Pleasanton Rd Ste 2
San Antonio, TX 78221-1252
Phone (210) 923-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163533602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
1900 Pleasanton Rd
Ste 2
San Antonio, TX 78221
Phone (210) 923-9992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301875200000",
"number": "1649394255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 PLEASANTON RD STE 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211252",
"telephone_number": "210-923-9992",
"fax_number": "210-695-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PLEASANTON RD STE 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211252",
"telephone_number": "210-923-9992",
"fax_number": "210-695-9015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARJORIE F. LOPEZ",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2011-04-04",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "MARJORIE",
"authorized_official_middle_name": "FLORES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-923-9992",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0064164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163533602",
"state": "TX"
}
],
"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 Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.