Individual provider · Type 1 NPI

Raquel Lopez, APRN

Pediatric Nurse Practitioner · Fruit Cove, FL

NPI number 1003529173 Active

Practice location

1631 Race Track Rd, #101
Fruit Cove, FL 32259

Fax (904) 230-7979

Mailing address

4577 Pebble Brook Dr
Jacksonville, FL 32224-7643

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11017163 (FL)

Pediatric Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1003529173

Raquel Lopez, APRN's National Provider Identifier is 1003529173, issued on Jan 3, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fruit Cove, FL. The record was last updated on Oct 23, 2026.