Martin, Enrico Lopez

Martin, Enrico Lopez is an individual health care provider with primary practice located at 5880 University Ave Ste 102 , West Des Moines IA 50266-8209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Martin, Enrico Lopez can be contacted via phone (515) 633-3600.

Contact Information

Primary practice address
5880 University Ave Ste 102 West Des Moines IA 50266-8209
Phone: (515) 633-3600
Fax: (515) 288-0840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 37512 Iowa
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37512 Iowa

Profile Details

NPI number 1942229562
LBN Legal business name Martin, Enrico Lopez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 14th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942229562 NPPES
Iowa Other 71046 BC/BS OF IOWA
Iowa Other 101 15504 BC/BS OF IOWA
Iowa MEDICAID 1942229562 BC/BS OF IOWA
Iowa Other CB0709/060070355 BC/BS OF IOWA
Iowa MEDICAID 036107290 1 BC/BS OF IOWA

Popular Providers