NPIMap

Organization Active NPI

Lopez Garcia MD PA

  • Internal Medicine Physician
  • Lakeland, FL
National Provider Identifier
1790323665
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOPEZ GARCIA MD PA
Practice address
2022 Emerald Ridge Dr
Lakeland, FL 33813-5224
Phone
(305) 308-6478
Fax
(813) 741-3331
NPI assigned
Dec 11, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Eduardo F Lopez Garcia, MDNPI 1184998056
Title
Owner
Phone
(305) 308-6478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2022 Emerald Ridge Dr
Lakeland, FL 33813-5224

Mailing address

2022 Emerald Ridge Dr
Lakeland, FL 33813-5224
Phone (305) 308-6478

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1790323665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 EMERALD RIDGE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338135224",
            "telephone_number": "305-308-6478",
            "fax_number": "813-741-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 EMERALD RIDGE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338135224",
            "telephone_number": "305-308-6478",
            "fax_number": "813-741-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ GARCIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ GARCIA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-308-6478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.