Provider Demographics
NPI:1265020432
Name:LOPEZ MARATINEZ, OSCAR (RN)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:LOPEZ MARATINEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 GOODLETTE RD STE D-25
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5661
Mailing Address - Country:US
Mailing Address - Phone:786-397-8610
Mailing Address - Fax:239-331-2626
Practice Address - Street 1:501 GOODLETTE RD STE D-25
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5661
Practice Address - Country:US
Practice Address - Phone:786-397-8610
Practice Address - Fax:239-331-2626
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health