OrganizationAbdiel Marquez Lopez(<Unavail>)DentistDental ProvidersPractice AddressJose Maria Velazco 2488-203, Zona Rio, Tijuana, Baja California 22010 (Mexico)(619) 272-9021PECOS EnrollmentBased on the most recent information from CMS, provider Abdiel Marquez Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1467176073Provider TypeOrganizationFull NameAbdiel Marquez LopezOther Name<Unavail>SubpartNoEnumeration Date9/27/2022Last Updated9/27/2022Contact InformationPractice LocationPractice AddressJose Maria Velazco 2488-203, Zona Rio, Tijuana, Baja California 22010 (Mexico)Phone(619) 272-9021FaxUnlisted FaxMailing LocationMailing Address364 E San Ysidro Blvd # 432, San Ysidro, CA 92173-2722Phone(619) 272-9021FaxUnlisted FaxAuthorized OfficialNameMarquez Lopez, Abdiel Uriel (Dentist)Phone(619) 272-9021Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer