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ROBERTO MAURO LOPEZ MD PA
NPI 1104599679
Family Medicine in Mission, TX

Active since July 29, 2021
1400 W GRIFFIN PKWY SUITE 1, MISSION, TX 78572(956) 563-7046 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Roberto Mauro Lopez Md Pa NPPES

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

ROBERTO MAURO LOPEZ MD PA (NPI 1104599679), doing business as Las Fuentes Medical Clinic, is a healthcare organization registered as a family medicine in Mission, Texas and active in the NPI registry since July 2021. The organization lists Srikanth Nangavaram, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104599679
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERTO MAURO LOPEZ MD PA
Location Address1400 W GRIFFIN PKWY SUITE 1Mission, TX 78572
Mailing Address2509 Sandstone DrMission, TX 78574-2774
Phone(956) 563-7046
Organization SubpartNo
Authorized OfficialSrikanth NangavaramCfo · (956) 215-6010
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 5, 2021
✔ NPI 1104599679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 W GRIFFIN PKWY SUITE 1, Mission, TX 78572
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Other Names 1

Doing Business AsLas Fuentes Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Roberto Mauro Lopez MD PA's NPI number?

The NPI number for Roberto Mauro Lopez MD PA is 1104599679. It was assigned to this organization in the NPPES registry on July 29, 2021. The provider is doing business as Las Fuentes Medical Clinic.

Where is Roberto Mauro Lopez MD PA located?

Roberto Mauro Lopez MD PA is located at 1400 W Griffin Pkwy Suite 1, Mission, TX 78572. The listed phone number is (956) 563-7046.

What is Roberto Mauro Lopez MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Roberto Mauro Lopez MD PA was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.