Iliana Renee Lopez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

117192 Issued in TX

Practice address

12150 Ted Houghton
El Paso, TX 79936-6988

Phone

(915) 937-8601

NPI assigned

Dec 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pasitos Clinic, LLC

  • Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1225372378
  NPD (past)

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1669131975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 VISTA ALEGRE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353604",
            "telephone_number": "915-549-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 TED HOUGHTON",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366988",
            "telephone_number": "915-937-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ILIANA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Lopez, FNP-BC
• Gema V Lopez, SLP
• Gloria Lopez, O.T.
• Gomecindo Lopez, LPC
• Guillermo Lopez
• Ilse Edith Lopez, NP
• Irma Frances Lopez
• Ishmael I Lopez, LMSW
• Ivan Lopez
• Ivan Lopez

• Speech-Language Pathologist in El Paso, TX
• Providers in El Paso, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.