G MICHAEL LOPEZ NPI 1891925848

NPI Information

  • NPI: 1891925848
  • Provider Name: G MICHAEL LOPEZ
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 32D0935354
  • Address: 105 MILLS AVE STE 300
    LAS VEGAS, NM
    ZIP 87701
  • Phone: (505) 425-9311

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NPI Details

G MICHAEL LOPEZ is an internal medicine in Las Vegas, NM. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. G MICHAEL LOPEZ NPI is 1891925848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 MILLS AVE STE 300
LAS VEGAS, NM
ZIP 87701-169
Phone: (505) 425-9311
Fax: (505) 425-9047

The provider's authorized official is G Michael Lopez .
The authorized official title is Owner and has the following contact phone number (505) 425-9311.

The CLIA number assigned to this NPI record is 32D0935354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2009 and was last updated on 7/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant92PA09NEW MEXICONo
2363LA2200XNurse PractitionerAdult HealthR53421NEW MEXICONo
3207R00000XInternal MedicineNM81-770NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D35788MEDICARE UPINNEW MEXICO
200007070MEDICAIDNEW MEXICO
3NM001568OTHERBLUE CROSS BLUE SHIELD
42133551MEDICARE PINNEW MEXICO
5201006000OTHERNEW MEXICOPRESBYTERIAN HEALTH PLAN
6NM001568OTHERNEW MEXICOBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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