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

Sandra B Lopez, PA

Individual provider Medical Physician Assistant · NPI 1770676884

Sandra B Lopez, PA is a Physician Assistant in Port St Lucie, Florida. Qualified in 2005, 21 years ago. Practices with Alliant Dermatology PA, a 12-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
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

9850 S Federal Hwy
Port St Lucie, FL 34972
Phone: (772) 335-1500
Fax: (772) 335-1116
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103461 (FL)

Record details

NPI number1770676884
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJanuary 30, 2009
Mailing address5807 Nw Allyse Dr, Port St Lucie, FL 34986-4650

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Alliant Dermatology Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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