Provider Demographics
NPI:1568549657
Name:LOPEZ-CORONADO, ANABEL (MD)
Entity Type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:LOPEZ-CORONADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 TRAWOOD DR
Mailing Address - Street 2:SUITE A 100
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3322
Mailing Address - Country:US
Mailing Address - Phone:915-633-1124
Mailing Address - Fax:915-633-1336
Practice Address - Street 1:2150 TRAWOOD DR
Practice Address - Street 2:SUITE A 100
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3322
Practice Address - Country:US
Practice Address - Phone:915-633-1124
Practice Address - Fax:915-633-1336
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5821207R00000X
NMMD2006-0729207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine