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Taina R. Lopez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as TAINA LOPEZ.

Based on the most recent information from CMS, provider Taina R. Lopez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1538562061
Provider Type
Individual
Full Name
Lopez, Taina R.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/29/2014
Last Updated
9/9/2015

Contact Information

Practice Location

85 W Burnside Ave, Bronx, NY 10453-4015

(718) 716-4400

(718) 294-6912

Mailing Location

85 W Burnside Ave, Bronx, NY 10453-4015

(718) 716-4400

(718) 294-6912

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F339050-1 New York

Taina R. Lopez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Joseph, Sneha

Kipiani, Khatuna

Rejouis, Carline

Herrera, Yoandri

Cherian, Jessey P

Pulido-Rosado, Melanie Meneses

Yerra, Anuradha

Jean-Gilles, Ghandy

Kim, Youngsook

Ehrlich, Darie