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

Mr. Jorge Luis Lopez, PA

Individual provider Physician Assistant · NPI 1104952209

Mr. Jorge Luis Lopez, PA is a Physician Assistant in Fort Carson, Colorado. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1650 Cochrane Cir Attn Credentials Ofc
Fort Carson, CO 80913-4603
Phone: (719) 526-7844
Fax: (719) 526-7984
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104952209
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007

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