Moreno Lopez, Jose Andres

Moreno Lopez, Jose Andres is an individual health care provider with primary practice located at 540 E Jefferson St Ste 205 , Iowa City IA 52245-2479. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Moreno Lopez, Jose Andres can be contacted via phone (319) 688-7880.

Contact Information

Primary practice address
540 E Jefferson St Ste 205 Iowa City IA 52245-2479
Phone: (319) 688-7880
Fax: (319) 688-7881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 60049-20 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X TRN15501 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-49481 Iowa
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD-49481 Iowa

Profile Details

NPI number 1043545833
LBN Legal business name Moreno Lopez, Jose Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2009
Last updated May 9th, 2024 - about 4 months 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 1043545833 NPPES
Wisconsin MEDICAID 1043545833

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