SearchFlorida208D00000X

Eliecer Barrueta Lopez, MD

NPI 1083271357 · on the registry since 2019 · sole proprietor

Practice

Address
57 Town Ct Ste 218
Palm Coast, FL 32164
Phone
(386) 368-8531
Organisation at this address
Total Renal Care, Inc
Blue Ocean Deramtology Llc
Metro Treatment Of Florida, Lp
Florida Institute Of Pain Medicine Llc
West Orange Palm Coast Dialysis Center Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1768 Richard Ln, West Palm Beach, FL
  • 715 Ave Ponce De Leon, Hato Rey, PR

Registry record

Primary taxonomy
208D00000X
208D00000X
Also registered as
390200000X
207R00000X
Licence states on file
PR, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida