| Sandra B Lopez, PA | |
|
9850 S Federal Highway, Port St Lucie, FL 34972 | |
| (772) 335-1500 | |
| (772) 335-1116 |
| Full Name | Sandra B Lopez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 9850 S Federal Highway, Port St Lucie, 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 |
|---|---|---|---|
| 1770676884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9103461 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliant Dermatology Pa | 9436305273 | 12 |
| Entity Name | Florida Dermatologic Surgery & Aesthetics Institute PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427180645 PECOS PAC ID: 3476573502 Enrollment ID: O20051202000736 |
| Entity Name | Alliant Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619232501 PECOS PAC ID: 9436305273 Enrollment ID: O20120809000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra B Lopez, PA 5807 Nw Allyse Dr, Port St Lucie, FL 34986-4650 Ph: (772) 905-2583 | Sandra B Lopez, PA 9850 S Federal Highway, Port St Lucie, FL 34972 Ph: (772) 335-1500 |
Jennifer J Ramos, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 561-603-7564 |
Sarah Gardi Garcia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10000 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-345-8100 |
Ariella Jeanine Garmizo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 103, Port St Lucie, FL 34952 Phone: 561-406-9566 |
Kendall Melissa Albu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10000 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-345-8100 |
Danielle Julianne Elliott, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 203 Sw Hide Pl, Port St Lucie, FL 34953 Phone: 772-323-6202 |
Lilian Daniela Mairena, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7710 S Us Highway 1, Port St Lucie, FL 34952 Phone: 772-335-5300 Fax: 772-200-2131 |
Abby Nelson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1881 Se Tiffany Ave Ste 301, Port St Lucie, FL 34952 Phone: 772-335-8499 Fax: 772-335-8499 |