Lopez-Mendez, Ada

Lopez-Mendez, Ada is an individual health care provider with primary practice located at 635 1St St N , Winter Haven FL 33881-4129. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Lopez-Mendez, Ada can be contacted via phone (863) 294-0670.

Contact Information

Primary practice address
635 1St St N Winter Haven FL 33881-4129
Fax: (863) 298-3200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME58686 Florida
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME58686 Florida

Profile Details

NPI number 1841267143
LBN Legal business name Lopez-Mendez, Ada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Dec 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841267143 NPPES
Florida Other 11595 BCBS FL
Florida MEDICAID 371637600 BCBS FL
Florida Other P00715125 BCBS FL

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