Organization Active NPI

Lopez Family Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1922757558
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOPEZ FAMILY PRIMARY CARE INC
Practice address
6821 Southpoint Dr N Ste 107
Jacksonville, FL 32216-8026
Phone
(904) 862-6070
Fax
(904) 595-3767
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Diorgi Lopez Suri, APRN
Title
Owner
Phone
(904) 862-6070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

6821 Southpoint Dr N Ste 107
Jacksonville, FL 32216-8026

Mailing address

6821 Southpoint Dr N Ste 107
Jacksonville, FL 32216-8026
Phone (904) 862-6070

Other practice location 1

6821 Southpoint Dr N Ste 107
Jacksonville, FL 32216-8026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1922757558",
    "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": "904-862-6070",
            "fax_number": "904-595-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 SOUTHPOINT DR N STE 107",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168026",
            "telephone_number": "904-862-6070",
            "fax_number": "904-595-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6821 Southpoint Dr N Ste 107",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168026",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOPEZ FAMILY PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ SURI",
        "authorized_official_first_name": "DIORGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-862-6070",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 28, 2022; 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.