Mayoral, Jaime Lopez

Mayoral, Jaime Lopez is an individual health care provider with primary practice located at 1200 Brooklyn Ave. Ste 150, San Antonio TX 78212-4815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Mayoral, Jaime Lopez can be contacted via phone (210) 212-4114.

Contact Information

Primary practice address
1200 Brooklyn Ave. Ste 150 San Antonio TX 78212-4815
Phone: (210) 212-4114
Fax: (210) 212-4012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J9199 Texas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X J9199 Texas

Profile Details

NPI number 1689677916
LBN Legal business name Mayoral, Jaime Lopez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689677916 NPPES
Texas MEDICAID 117142303

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