Dr Luis Angel Lopezrivera, MD is a
General Practice physician based in Crestview, Florida. Dr Luis Angel Lopezrivera is licensed to practice in Florida (license number ACN390) and his current practice location is 3189 Colonel Greg Malloy Rd, Crestview, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 683-4042.
NPI number for Dr Luis Angel Lopezrivera is 1174713184 and his current mailing address is 3116 Border Creek Rd, Crestview, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174713184.
Physician's Profile
| Full Name | Dr Luis Angel Lopezrivera |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 3189 Colonel Greg Malloy Rd, Crestview, Florida |
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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: 1174713184
- Provider Enumeration Date: 07/26/2007
- Last Update Date: 02/11/2014
Medical Identifiers
Medical identifiers for Dr Luis Angel Lopezrivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174713184 | NPI | - | NPPES |
| 007626400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 17506 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN390 (Florida) | 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. Dr Luis Angel Lopezrivera 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 |
|---|
Dr Luis Angel Lopezrivera, MD
3116 Border Creek Rd,
Crestview, FL 32539-9060
Ph: (850) 333-7575 | Dr Luis Angel Lopezrivera, MD
3189 Colonel Greg Malloy Rd,
Crestview, FL 32539-6705
Ph: (850) 683-4042 |
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