Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MICQAUELLA RENEA LOPEZ MS, LAT, ATC
NPI 1033993514
Specialist/Technologist - Athletic Trainer in San Antonio, TX

Q: What is Micqauella Lopez's NPI number?

The NPI number for Micqauella Lopez is 1033993514. It was assigned to this individual provider in the NPPES registry on August 24, 2023. The provider is also known as Ms. Renea Lopez Ms, Lat, Atc.

Q: What is Micqauella Lopez's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Micqauella Lopez was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2023

4301 BROADWAY, SAN ANTONIO, TX 78209(956) 651-2555 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2026, Sep 5, 2024, Aug 24, 2023 (3 updates tracked since 2023).

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About Ms. Micqauella Renea Lopez Ms, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MICQAUELLA RENEA LOPEZ MS, LAT, ATC (NPI 1033993514) is an individual athletic trainer provider in San Antonio, Texas and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1033993514

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMS. MICQAUELLA RENEA LOPEZCredential: MS, LAT, ATC

Location Address4301 BROADWAYSan Antonio, TX 78209-6318

Mailing Address10018 Ingram Rd Apt 6202San Antonio, TX 78245-1966 · (956) 651-2555

Phone(956) 651-2555

Sole ProprietorYes

Enumeration DateAugust 24, 2023

Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1033993514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

4301 BROADWAY, San Antonio, TX 78209

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Other Names 1

Professional Name (2)Ms. Renea Lopez Ms, Lat, Atc

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAOLA BENASSINI

Nutritionist

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 501-7116

AISHA NAZARETH CAMET HERNANDEZ

Student in an Organized Health Care Education/Training Program

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 829-6000

MR. TRI ANH TO

Student in an Organized Health Care Education/Training Program

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 829-6000

JACQUELINE J HUA DPT

Physical Therapist

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 283-6446

RENEE ANNE BELLANGER PHARM.D.

Pharmacist (Nutrition Support)

4301 BROADWAY, CPO 99
SAN ANTONIO, TX 78209

Bexar County (210) 883-1088

CHAOREN KOH MD

Student in an Organized Health Care Education/Training Program

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 283-6998

DR. STACY PEREZ WATERMAN LPC, LCDC

Counselor (Mental Health)

4301 BROADWAY, AD 438
SAN ANTONIO, TX 78209

Bexar County (210) 827-3738

EDGARDO RIVERA LOPEZ PT, DPT, CSCS

Physical Therapist (Sports)

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 829-6017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micqauella Lopez's NPI number?

The NPI number for Micqauella Lopez is 1033993514. It was assigned to this individual provider in the NPPES registry on August 24, 2023. The provider is also known as Ms. Renea Lopez Ms, Lat, Atc.

Where is Micqauella Lopez located?

Micqauella Lopez practices at 4301 Broadway, San Antonio, TX 78209. The listed phone number is (956) 651-2555.

What is Micqauella Lopez's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Micqauella Lopez was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.