Organization Active NPI

Dr Raphael Lopez LLC

  • Internal Medicine Physician
  • Davenport, FL
National Provider Identifier
1962674234
Registry record updated Oct 20, 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
(863) 421-4400
Fax
(863) 421-4402
NPI assigned
Mar 27, 2008
Last updated
Oct 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Dr. Raphael Luis Lopez, MDNPI 1932177177
Title
Owner/President
Phone
(863) 421-4400

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 ME85048 FL Primary

Addresses

Primary practice location

131 Webb Dr
Suite C
Davenport, FL 33837-3921

Mailing address

131 Webb Dr
Suite C
Davenport, FL 33837-3921
Phone (863) 421-4400

National Provider Directory

National Provider Directory

Locations

131 Webb Dr
Ste C
Davenport, FL 33837
Phone (863) 421-4400

295 Patterson Rd
Ste B
Haines City, FL 33844
Phone (863) 421-4400

150 SE Plaza Roadway
Winter Haven, FL 33880
Phone (863) 295-7799

Practitioners & affiliated clinicians

Practitioners 3

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1962674234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WEBB DR",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373921",
            "telephone_number": "863-421-4400",
            "fax_number": "863-421-4402"
        },
        {
            "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": "863-421-4400",
            "fax_number": "863-421-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RAPHAEL LOPEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-10-20",
        "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": "863-421-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 Oct 20, 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.