DOMINGO LOPEZ JR. NP
NPI 1134623838
Nurse Practitioner - Family in San Antonio, TX

Q: What is Domingo Lopez's NPI number?

The NPI number for Domingo Lopez is 1134623838. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Q: What is Domingo Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Domingo Lopez was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 19, 2018

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Mar 5, 2019, Mar 19, 2018 (3 updates tracked since 2018).

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About Domingo Lopez Jr. Np NPPES

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

DOMINGO LOPEZ JR. NP (NPI 1134623838) is an individual family provider in San Antonio, Texas, licensed in Texas (AP137044) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1134623838

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDOMINGO LOPEZ JR.Credential: NP

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000

Phone(210) 358-4000

Sole ProprietorNo

Enumeration DateMarch 19, 2018

Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration

NPPES CertifiedOctober 2, 2023

✔ NPI 1134623838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP137044

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP137044 (TX)

4502 MEDICAL DR, San Antonio, TX 78229

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Other Providers at the Same Location NPPES 20

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

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)