Organization Active NPI

Lopez Healthcare Services Corp

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1740868066
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
LOPEZ HEALTHCARE SERVICES CORP
Practice address
2624 Atlantic Blvd
Jacksonville, FL 32207-3609
Phone
(904) 513-3240
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Diorgi Lopez Suri, APRN
Title
President
Phone
(866) 372-0308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2624 Atlantic Blvd
Jacksonville, FL 32207-3609

Mailing address

6821 Southpoint Dr N Ste 107
Jacksonville, FL 32216-8026
Phone (866) 372-0308

Other practice location 1

6821 Southpoint Dr N Ste 107
Jacksonville, FL 32216-8026
Phone (866) 372-0308

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1740868066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 SOUTHPOINT DR N STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168026",
            "telephone_number": "866-372-0308",
            "fax_number": "877-460-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073609",
            "telephone_number": "904-513-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6821 Southpoint Dr N Ste 107",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168026",
            "country_code": "US",
            "telephone_number": "866-372-0308",
            "fax_number": "877-460-4651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOPEZ HEALTHCARE SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ SURI",
        "authorized_official_first_name": "DIORGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-372-0308",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.