Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jose Lopez

Individual provider Specialist · NPI 1619826856

Jose Lopez is a Specialist in Moorhead, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1505 30th Ave S
Moorhead, MN 56560-5149
Phone: (218) 287-4338
Fax: (218) 512-0643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1619826856
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address1547 30th Ave S, Moorhead, MN 56560-5149

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