| Gustavo A Lopez, MD | |
|
9169 W Van Buren St, Tolleson, AZ 85353-2942 | |
| (602) 283-5732 | |
| (602) 314-4579 |
| Full Name | Gustavo A Lopez |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 9169 W Van Buren St, Tolleson, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023247202 | NPI | - | NPPES |
| 441076 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42153 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advance Home Health Care, Llc | Mesa, AZ | Home health agency |
| American Home Health Services, Inc. | Mesa, AZ | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Family Medicine Llc | 5092007427 | 9 |
| Entity Name | American Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477908085 PECOS PAC ID: 5092007427 Enrollment ID: O20160706000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo A Lopez, MD 9169 W Van Buren St, Tolleson, AZ 85353-2942 Ph: (602) 283-5732 | Gustavo A Lopez, MD 9169 W Van Buren St, Tolleson, AZ 85353-2942 Ph: (602) 283-5732 |
Dr. Raymond R. Valdivia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9550 W Van Buren St, Suite 1, Tolleson, AZ 85353 Phone: 623-936-7960 Fax: 623-936-7980 |
Carmen Guerra Sosa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9169 W Van Buren St, Tolleson, AZ 85353 Phone: 602-283-5762 |