Maria Isabel Lopez, MD, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MARIA ISABEL LOPEZ, MD, PA

Practice address

305 Memorial Medical Pkwy
Suite 303
Daytona Beach, FL 32117-5168

Phone

(386) 615-8909

Fax

(386) 615-8910

NPI assigned

Nov 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maria Isabel Lopez, M.D.NPI 1124088133

Title

President

Phone

(386) 615-8909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria I Lopez, M.D.

  • Specialist
  • Daytona Beach, FL
  • NPI 1124088133
  Medicare reassignment NPD Authorized official
• Mark E Kennedy, MD

  • Ophthalmology Physician
  • Ormond Beach, FL
  • NPI 1811948599
  NPD (past)
• Mark Stephen Rubin, M.D.

  • Ophthalmology Physician
  • Ormond Beach, FL
  • NPI 1114943131
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1659658771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 303",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175168",
            "telephone_number": "386-615-8909",
            "fax_number": "386-615-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 303",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175168",
            "telephone_number": "386-615-8909",
            "fax_number": "386-615-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA ISABEL LOPEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-615-8909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gelisa B Mapp
• Scott Henry March, MA
• Gersom Marchena
• Mikhail Marchenko, MD
• James Patrick Marcum, PA
• Jennifer L Marin, RRT
• Dominic Marino, D.O.
• Sarah Jeannette Marino, D.O.
• Amber Michelle Marion
• Mark W White MD,LLC

• Medical Specialty Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.