OrganizationNadya Lopez(<Unavail>)DentistDental ProvidersPractice AddressBlvd Sanchez Taboada #10512 -7b, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Nadya 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 ID1467954768Provider TypeOrganizationFull NameNadya LopezOther Name<Unavail>SubpartNoEnumeration Date3/2/2018Last Updated3/2/2018Contact InformationPractice LocationPractice AddressBlvd Sanchez Taboada #10512 -7b, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(866) 272-6924Mailing LocationMailing AddressBlvd Sanchez Taboada #10512 -7b, Tijuana, Baja California 22010 (Mexico)PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameLopez, Nadya (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense6223904