Individual provider Active NPI

Gabriel Alfonso Lopez, PA-C

  • Physician Assistant
  • Pharr, TX
National Provider Identifier
1700579380
Registry record updated May 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20015 Issued in TX
Practice address
2404 S Cage Blvd
Pharr, TX 78577-6716
Phone
(956) 702-6462
NPI assigned
May 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20015 TX Primary

Addresses

Primary practice location

2404 S Cage Blvd
Pharr, TX 78577-6716

Mailing address

2404 S Cage Blvd
Pharr, TX 78577-6716
Phone (956) 702-6462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518002281 TX Practitioner - Physician Assistant 7719456946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1821 S Sesame SQ
Suite 10
Harlingen, TX 78550-7941

3512 Knight Ave
Edinburg, TX 78539-6851

512 Victoria LN
Suite 13
Harlingen, TX 78550-3226

PO Box
Suite 590
Pharr, TX 78577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20015TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Juana Maria Espejo, M.D., P.a. CurrentSince May 4, 2026 Accepting new patients

Locations

2404 S Cage Blvd
Pharr, TX 78577
Phone (956) 212-6486

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1700579380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776716",
            "telephone_number": "956-702-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S CAGE BLVD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776716",
            "telephone_number": "956-702-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GABRIEL",
        "middle_name": "ALFONSO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.