Mr Marcelo Manuel Lopez Hernandez, DDS is a
Dentist based in Tijuana, California. Mr Marcelo Manuel Lopez Hernandez is licensed to practice in ZZ (license number 871239) and his current practice location is
Blvd. Bellas Artes #341-1, Colonia Nueva Tijuana, Tijuana, California. He can be reached at his office (for appointments etc.) via phone at
(011) 526-6462.
NPI number for Mr Marcelo Manuel Lopez Hernandez is 1134593288 and his current mailing address is 4364 Bonita Rd. #233, Bonita, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134593288.
Healthcare Provider's Profile
| Full Name | Mr Marcelo Manuel Lopez Hernandez |
|---|
| Gender | Male |
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| Speciality | Dentist |
|---|
| Location | Blvd. Bellas Artes #341-1, Tijuana, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134593288
- Provider Enumeration Date: 11/30/2015
- Last Update Date: 11/30/2015
Medical Identifiers
Medical identifiers for Mr Marcelo Manuel Lopez Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134593288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 871239 (ZZ) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Marcelo Manuel Lopez Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Marcelo Manuel Lopez Hernandez, DDS
4364 Bonita Rd. #233,
Bonita, CA 91902-1421
Ph: (011) 526-6462 | Mr Marcelo Manuel Lopez Hernandez, DDS
Blvd. Bellas Artes #341-1, Colonia Nueva Tijuana,
Tijuana, CA 22435
Ph: (011) 526-6462 |
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