| Olga Lopez, PAC | |
|
30334 Old Dixie Hwy, Homestead, FL 33033-3215 | |
| (786) 243-0149 | |
| (786) 243-2612 |
| Full Name | Olga Lopez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 30334 Old Dixie Hwy, Homestead, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679603237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9103866 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coral Reef Medical Group Llc | 5395808885 | 4 |
| Entity Name | Coral Reef Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982870143 PECOS PAC ID: 5395808885 Enrollment ID: O20090109000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Olga Lopez, PAC 30334 Old Dixie Highway, Homestead, FL 33033 Ph: (786) 243-0149 | Olga Lopez, PAC 30334 Old Dixie Hwy, Homestead, FL 33033-3215 Ph: (786) 243-0149 |
Mr. Johan Mennig San Roman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 975 Baptist Way, Homestead, FL 33033 Phone: 305-793-4706 |
Mrs. Jean Alexandra Goodwin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 Baptist Way Ste 202, Homestead, FL 33033 Phone: 786-243-8444 Fax: 786-576-0416 |
Daniel Carlos Mijares, Physician Assistant Medicare: Medicare Enrolled Practice Location: 437 N Krome Ave, Homestead, FL 33030 Phone: 786-378-8277 Fax: 305-328-4089 |
Luis E Salazar, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 975 Baptist Way, Homestead, FL 33033 Phone: 305-854-4400 |
Christina Marie Lacombe, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 151 Nw 11th St, Suite E202, Homestead, FL 33030 Phone: 305-245-3220 Fax: 305-245-6995 |
Ms. Christina Grau, Physician Assistant Medicare: Medicare Enrolled Practice Location: 975 Baptist Way, Homestead, FL 33033 Phone: 786-243-8000 |
Andrea Betancourt, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 975 Baptist Way, Homestead, FL 33033 Phone: 786-886-6255 |