Individual
DR. ENRICO LOPEZ MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5880 UNIVERSITY AVE STE 102, WEST DES MOINES, IA 50266-8209
(515) 633-3600
(515) 288-0840
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
37512
IA
207UN0901X
Nuclear Cardiology Physician
37512
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107290 1
—
IL
01
—
101 15504
B/C B/S OF ILLINOIS
IL
05
—
1942229562
—
IA
01
—
71046
BC/BS OF IOWA
IA
01
—
CB0709/060070355
RR MEDICARE GROUP #/PIN
GA
Enumeration date
07/18/2006
Last updated
06/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us