Eliecer Barrueta Lopez, MD
General Practice in Palm Coast, Florida
1083271357- Practice location
- 57 Town CT Ste 218, Palm Coast, FL 32164-2425
- Phone
- 386-368-8531
- Fax
- —
- Last updated
- January 24, 2025
Eliecer Barrueta Lopez is a General Practice based in Palm Coast, FL. Eliecer Barrueta Lopez practices in Palm Coast, FL and has the professional credentials of MD. The NPI Number for Eliecer Barrueta Lopez is 1083271357 and holds a License No. 15058-I (PR). The current practice location address for Eliecer Barrueta Lopez is 57 Town CT Ste 218, Palm Coast, FL 32164-2425 and can be reached out via phone at 386-368-8531.
Provider Profile Details
- NPI Number
- 1083271357
- Provider Name
- Eliecer Barrueta Lopez
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 57 Town CT Ste 218, Palm Coast, FL 32164-2425
- Phone Number
- 386-368-8531
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 22, 2019
- Last Update Date
- January 24, 2025
- Certification Date
- January 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 57 Town CT Ste 218
Palm Coast, FL 32164-2425 - City
- Palm Coast
- State
- Florida
- Zip
- 32164-2425
- Phone Number
- 386-368-8531
Provider Business Mailing Address Details
- Address
- 1768 Richard Ln
West Palm Beach, FL 33406-6576 - City
- West Palm Beach
- State
- FL
- Zip
- 33406-6576
- Phone Number
- 561-319-5157
License Information
- License Number (1)
- 15058-I
- License State (1)
- PR
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 23236
- License State (2)
- PR
- Taxonomy (2)
- General Practice · 208D00000X · Primary
- License Number (3)
- ACN1619
- License State (3)
- FL
- Taxonomy (3)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other General Practice providers near Palm Coast, FL
View all General Practice providers in Palm Coast →Frequently Asked Questions
What is the NPI number of Eliecer Barrueta Lopez, MD?
The NPI number of Eliecer Barrueta Lopez, MD is 1083271357. It was assigned on May 22, 2019 and is currently active in the NPPES registry.
What is the specialty of Eliecer Barrueta Lopez, MD?
Eliecer Barrueta Lopez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 15058-I.
Where does Eliecer Barrueta Lopez, MD practice?
The practice location is 57 Town CT Ste 218, Palm Coast, FL 32164-2425. The office can be reached at 386-368-8531 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083271357 directly on the NPPES registry website.