Dr Luis Angel Lopezrivera, MD - General Practice in Crestview, FL

Dr Luis Angel Lopezrivera, MD is a General Practice physician based in Crestview, Florida. Dr Luis Angel Lopezrivera is licensed to practice in Florida (license number ACN390) and his current practice location is 3189 Colonel Greg Malloy Rd, Crestview, Florida. He can be reached at his office (for appointments etc.) via phone at (850) 683-4042.

NPI number for Dr Luis Angel Lopezrivera is 1174713184 and his current mailing address is 3116 Border Creek Rd, Crestview, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174713184.

Contact Information

Dr Luis Angel Lopezrivera, MD
3189 Colonel Greg Malloy Rd,
Crestview, FL 32539-6705
(850) 683-4042
Not Available



Physician's Profile

Full NameDr Luis Angel Lopezrivera
GenderMale
SpecialityGeneral Practice
Location3189 Colonel Greg Malloy Rd, Crestview, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174713184
  • Provider Enumeration Date: 07/26/2007
  • Last Update Date: 02/11/2014

Medical Identifiers

Medical identifiers for Dr Luis Angel Lopezrivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174713184NPI-NPPES
007626400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 17506 (Puerto Rico)Secondary
208D00000XGeneral Practice ACN390 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luis Angel Lopezrivera is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Luis Angel Lopezrivera, MD
3116 Border Creek Rd,
Crestview, FL 32539-9060

Ph: (850) 333-7575
Dr Luis Angel Lopezrivera, MD
3189 Colonel Greg Malloy Rd,
Crestview, FL 32539-6705

Ph: (850) 683-4042

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General Practice Doctors in Crestview, FL

Joseph Phillip Peter, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 332 Medcrest Drive, Crestview, FL 32536
Phone: 850-683-5100    Fax: 850-683-5102
Jennifer Vital Whitfield, MD
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 800 Hospital Dr, Crestview, FL 32539
Phone: 850-682-1164    Fax: 850-682-5302

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