MRS. MONICA M MEDINA LOPEZ
NPI 1578136255
Military Health Care Provider - Independent Duty Medical Technicians in San Antonio, TX

Active since July 21, 2021
5122 STAPLEHURST ST, SAN ANTONIO, TX 78228(361) 489-6246 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Monica M Medina Lopez NPPES

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

MRS. MONICA M MEDINA LOPEZ (NPI 1578136255) is an individual independent duty medical technicians provider in San Antonio, Texas and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1578136255
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMRS. MONICA M MEDINA LOPEZ
Location Address5122 STAPLEHURST STSan Antonio, TX 78228-3656
Mailing Address5122 Staplehurst StSan Antonio, TX 78228-3656
Sole ProprietorYes
Enumeration DateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1578136255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

5122 STAPLEHURST ST, San Antonio, TX 78228

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578136255, enumerated as an "individual" on July 21, 2021.

The provider is located at 5122 STAPLEHURST ST SAN ANTONIO, TX 78228 and the phone number is (361) 489-6246.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.