# DR. RAYMOND A LOPEZ

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1083708747
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME130127 | FL | — |
| 207QA0505X | Adult Medicine Physician | ME130127 | FL | — |
| 207V00000X | Obstetrics & Gynecology Physician | 18239 | AL | — |
| 207V00000X | Obstetrics & Gynecology Physician | ME130127 | FL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 09/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 51097396 | BLUE CROSS&BLUE SHIELD | AL |