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Contact Information

G MICHAEL LOPEZ, MD
105 MILLS AVE STE 300
LAS VEGAS, NM87701-4169
 Phone: 505-425-9311
 Fax: 505-425-9047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for G MICHAEL LOPEZ · (Male)

NPI # 1003973397
Status Active
Credentials MD
Entity Individual
Enumeration date 01/03/2007
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM License # CNP-01651
  • NM License # NM81-77
  • NM Medicaid NM00007070
  • NM Other NM001568 BLUE CROSS BLUE SHIELD
  • NM Other 50013 HMO OF NEW MEXICO
  • NM Other 1991 LOVELACE
  • NM Other 201006000 PRESBYTERIAN HEALTH PLAN
Hospital affiliation(s)
  • ALTA VISTA REGIONAL HOSPITAL - (Acute Care)
    104 LEGION DRIVE
    LAS VEGAS, NM 87701
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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