Individual provider · Type 1 NPI

Bryan Israel Nicolalde Lopez, MD

Student in an Organized Health Care Education/Training Program · Worcester, MA

NPI number 1437844263 Active

Practice location

123 Summer St
Worcester, MA 01608-1216

Call (508) 363-5384 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437844263

Bryan Israel Nicolalde Lopez, MD's National Provider Identifier is 1437844263, issued on Apr 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Jun 15, 2026.