Active NPI
Lopez Healthcare Services Corp
- Primary Care Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1740868066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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 DirectoryNPI 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.