DR. LUIS ANGEL LOPEZRIVERA M.D.
NPI 1174713184
General Practice in Crestview, FL

Q: What is Luis Lopezrivera's NPI number?

The NPI number for Luis Lopezrivera is 1174713184. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Q: What is Luis Lopezrivera's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Lopezrivera was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 26, 2007

3189 COLONEL GREG MALLOY RD, CRESTVIEW, FL 32539(850) 683-4042 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Luis Angel Lopezrivera M.d. NPPES

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

DR. LUIS ANGEL LOPEZRIVERA M.D. (NPI 1174713184) is an individual general practice provider in Crestview, Florida, licensed in Florida (ACN390) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1174713184

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. LUIS ANGEL LOPEZRIVERACredential: M.D.

Location Address3189 COLONEL GREG MALLOY RDCrestview, FL 32539-6705

Mailing Address3116 Border Creek RdCrestview, FL 32539-9060 · (850) 333-7575

Phone(850) 683-4042

Sole ProprietorNo

Enumeration DateJuly 26, 2007

Last NPPES UpdateFebruary 11, 2014

✔ NPI 1174713184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ACN390✔ Licensed in PR · 17506

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3189 COLONEL GREG MALLOY RD, Crestview, FL 32539

Open in Google Maps ↗

Other Identifiers 2

Medicaid007626400FL

Medicare PINGW7152FL

Other Providers at the Same Location NPPES

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

KATHARINE LYNN WHITE APRN, NP-C

Nurse Practitioner (Family)

3189 COLONEL GREG MALLOY RD
CRESTVIEW, FL 32539

Okaloosa County (850) 683-4052

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 Luis Lopezrivera's NPI number?

The NPI number for Luis Lopezrivera is 1174713184. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Luis Lopezrivera located?

Luis Lopezrivera practices at 3189 Colonel Greg Malloy Rd, Crestview, FL 32539. The listed phone number is (850) 683-4042.

What is Luis Lopezrivera's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Luis Lopezrivera was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.