NPIMap

Organization Active NPI

Federal Bureau of Prisons

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1881065662
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
133531-1 Issued in NY
Legal business name
FEDERAL BUREAU OF PRISONS
Practice address
2801 Falcon RDG
Clermont, FL 34711-5892
Phone
(352) 243-8998
NPI assigned
Oct 19, 2015
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF JUSTICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Dr. Hector Lopez, MD
Title
Clinical Director
Phone
(352) 689-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 133531-1 NY Primary

Addresses

Primary practice location

2801 Falcon RDG
Clermont, FL 34711-5892

Mailing address

2801 Falcon RDG
Clermont, FL 34711-5892
Phone (352) 243-8998

National Provider Directory

National Provider Directory
Tax ID family
Federal Transfer Center Oklahoma City49 organizations share this tax ID, including this one
Part of
Fbop Metropolitan Detention Center

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1881065662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 FALCON RDG",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115892",
            "telephone_number": "352-243-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FALCON RDG",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115892",
            "telephone_number": "352-243-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL BUREAU OF PRISONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF JUSTICE",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "352-689-7332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "133531-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.