Individual provider · Type 1 NPI
Manuel Enrique Lopez Diez, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Palm Coast, FL
Practice location
4863 Palm Coast Pkwy NW
Palm Coast, FL 32137-3666
Fax (904) 212-1351
Mailing address
155 Bent Trl
Ponte Vedra, FL 32081-0846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 15704 (PR) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 4301087534 (MI) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary | 2081P2900X | ME 107153 (FL) |
Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
About NPI 1144458100
Manuel Enrique Lopez Diez, MD's National Provider Identifier is 1144458100, issued on Jun 29, 2009. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Palm Coast, FL. The record was last updated on Dec 28, 2021.