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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MANUEL ENRIQUE LOPEZ DIEZ, M.D.

Active

DR. MANUEL ENRIQUE LOPEZ DIEZ, M.D. is a Pain Medicine (PM&R) healthcare provider located in PALM COAST, Florida. NPI 1144458100 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · PALM COAST, FL

Registration Details

NPI Number
1144458100
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2009 (17.17176875452 yrs)
Last Updated
Dec 28, 2021
Licenses
15704 (PR)
4301087534 (MI)
ME 107153 (FL)

Practice Information

Address
4863 PALM COAST PKWY NW
PALM COAST, FL, 321373666
Browse FL providers · Browse ZIP 32137
Phone
3862227746
Fax
9042121351
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Pain Medicine (PM&R)
Additional Specialty
Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.