Individual
DR. CARLOS E LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
19066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211373B
—
GA
01
—
0090823
UNITED HEALTHCARE
GA
01
—
110010115
TRAVELER MEDICARE
GA
01
—
150542
BLUE CROSS BLUE SHIELD
GA
01
—
2580839
AETNA
GA
01
—
581574591
TRICARE
GA
Enumeration date
05/23/2005
Last updated
02/14/2014
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