Leonardo E Lopez Jr.
M.D. | Pediatrics | Male
Leonardo E Lopez Jr., M.D. is a Raton, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Leonardo E Lopez Jr. is
203 Hospital Dr, Raton, New Mexico - 87740-2012. He can be contacted on phone at
575-303-3692.
Leonardo E Lopez Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Leonardo E Lopez Jr. is
1831347251 which was assigned by NPPES on 28 Aug, 2008 and it was last updated on 26 Jun, 2020.
Leonardo E Lopez Jr. license number is
MD2013-0182 for Pediatrics (208000000X) in New Mexico.
Leonardo E Lopez Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Leonardo E Lopez Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Leonardo E Lopez Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Leonardo E Lopez Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 203 Hospital Dr
Raton, NM, 87740-2012
United States |
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| Phone Number : | 575-303-3692 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1831347251 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Aug, 2008 |
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| Last Updated On : | 26 Jun, 2020 |
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Medicare Participation:
Leonardo E Lopez Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3779732276 |
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| Medicare Enrollment ID : | I20130615000028 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2004 |
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| Accepts Medicare? | Yes. Leonardo E Lopez Jr. accepts medicare insurance. |
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Group Practice Association:
Leonardo E Lopez Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Leonardo E Lopez Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Miners' Colfax Medical Center | 5294647400 | 19 | 203 Hospital Dr
Raton, NM - 877402012
Ph: 5754453661 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leonardo E Lopez Jr. are as mentioned. Primary taxonomy code for Leonardo E Lopez Jr., M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | MD2013-0182 | NM |
| 208000000X | Pediatrics | Yes | MD2013-0182 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Leonardo E Lopez Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 82527369 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 203 Hospital Dr
Raton, NM, 87740-2012
United States |
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| Phone Number : | 575-303-3692 |
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Business Location:
Patients can refer following map for directions to
Leonardo E Lopez Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.