Provider Demographics
NPI:1326801853
Name:LOPEZ MARTINEZ, FLOR
Entity Type:Individual
Prefix:
First Name:FLOR
Middle Name:
Last Name:LOPEZ MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 EAST LELAND ROAD
Mailing Address - Street 2:SUIT 100
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565
Mailing Address - Country:US
Mailing Address - Phone:925-439-9628
Mailing Address - Fax:925-439-9639
Practice Address - Street 1:300 EAST LELAND ROAD
Practice Address - Street 2:SUIT 100
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565
Practice Address - Country:US
Practice Address - Phone:925-439-9628
Practice Address - Fax:925-439-9639
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker