G Michael Lopez
LBN: G Michael Lopez
G Michael Lopez is an health care organization with primary practice located at 105 Mills Ave Ste 300 , Las Vegas NM 87701-4169. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
G Michael Lopez can be contacted via phone (505) 425-9311, or through Lopez, G Michael via phone (505) 425-9311.
Contact Information
Primary practice address
105 Mills Ave Ste 300
Las Vegas NM 87701-4169
Phone: (505) 425-9311
Fax: (505) 425-9047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | NM81-770 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 92PA09 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R53421 | New Mexico |
Profile Details
| NPI number | 1891925848 |
|---|---|
| LBN Legal business name | G Michael Lopez |
| DBA Doing business as | |
| Authorized official | Lopez, G Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2009 |
| Last updated | Jul 23rd, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891925848 | NPPES |
| Other | NM001568 | BLUE CROSS BLUE SHIELD | |
| Other | 201006000 | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 00007070 | BLUE CROSS BLUE SHIELD | |
| Other | NM001568 | BLUE CROSS BLUE SHIELD |
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