Active NPIIndividual provider

Wanda Lopez-Rodriguez, MD

Pediatrics in Jamaica Plain, Massachusetts

NPI Number1144286394
Practice location
3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130
Fax
—
Last updated
October 29, 2015

Wanda Lopez-Rodriguez is a Pediatrics based in Jamaica Plain, MA. Wanda Lopez-Rodriguez practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Wanda Lopez-Rodriguez is 1144286394 and holds a License No. 76289 (MA). The current practice location address for Wanda Lopez-Rodriguez is 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130 and can be reached out via phone at 617-522-4700.

Provider Profile Details

NPI Number
1144286394
Provider Name
Wanda Lopez-Rodriguez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130
Phone Number
617-522-4700
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
April 25, 2006
Last Update Date
October 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
3297 Washington Street
Brookside Community Health Center
Jamaica Plain, MA 02130
Zip
02130
Phone Number
617-522-4700
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
111 Cypress St
Brookline, MA 02445-6002
City
Brookline
State
MA
Zip
02445-6002
Phone Number
857-307-0896

License Information

License Number
76289
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wanda Lopez-Rodriguez, MD?

The NPI number of Wanda Lopez-Rodriguez, MD is 1144286394. It was assigned on April 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Wanda Lopez-Rodriguez, MD?

Wanda Lopez-Rodriguez, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 76289.

Where does Wanda Lopez-Rodriguez, MD practice?

The practice location is 3297 Washington Street, Brookside Community Health Center, Jamaica Plain, MA 02130. The office can be reached at 617-522-4700 (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 1144286394 directly on the NPPES registry website.

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