Organization Active NPI

Dr. Raphael Lopez, LLC

  • Internal Medicine Physician
  • Davenport, FL
National Provider Identifier
1942472949
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85048 Issued in FL
Legal business name
DR. RAPHAEL LOPEZ, LLC
Practice address
131 Webb Dr
Suite C
Davenport, FL 33837-3921
Phone
(321) 939-4268
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Raphael Luis Lopez, M.D.NPI 1932177177
Title
Owner/President
Phone
(321) 939-4268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85048 FL Primary

Addresses

Primary practice location

131 Webb Dr
Suite C
Davenport, FL 33837-3921

Mailing address

1212 Roycroft Ave
Celebration, FL 34747-4016
Phone (321) 939-4268

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1942472949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 ROYCROFT AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474016",
            "telephone_number": "321-939-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WEBB DR",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373921",
            "telephone_number": "321-939-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAPHAEL LOPEZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "321-939-4268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.