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Deactivated NPI 1265402481 Deactivated / Inactive NPI Male Practitioner

Ray F Lopez , HS1, IDMT

Technician, Other • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ray Lopez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2006
NPI Deactivation Date March 27, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Ray Lopez, HS1, IDMT was a registered Technician, Other practicing in Jacksonville, FL. Throughout an active medical career spanning 18 years, Ray Lopez provided care at the practice location at 13520 AEROSPACE WAY until profile deactivation on 2024-03-27.

Practice Location & Contact Primary Location

Practice Address

13520 Aerospace Way
Us Coast Guard Hitron

Jacksonville, FL 32221

Telephone 9045946864
Fax 9045946914

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
34 Specialists

Practicing in Jacksonville, FL (1307 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Donald Kuhl , APA-C

Physician Assistant - Medical

NPI 1104871391

APAC

Benjamin Parshook

Military Health Care Provider - Independent Duty Corpsman

NPI 1316756190
David Mayer

Military Health Care Provider - Independent Duty Corpsman

NPI 1851433411

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 27, 2024

Record deactivated on March 27, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 13520 AEROSPACE WAY, US COAST GUARD HITRON, JACKSONVILLE, FL 32221 (Tel: 9045946864)

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Updated Business Mailing Address July 08, 2007

Registered at 1177 PARK AVE, PMB 131 SUITE 5, ORANGE PARK, FL 320734155 (Tel: 9044465398)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RAY LOPEZ, HS1, IDMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Technician, Other

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Initial NPI Registration & Enumeration January 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265402481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: July 08, 2007
Deactivation Date: March 27, 2024

Mailing Address

1177 Park Ave, Pmb 131 Suite 5

Orange Park, FL 320734155

Phone: 9044465398

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.