Eustorgio A. Lopez, M.D., D.D.S.
NPI 1730145061ActiveIndividual· Oral & Maxillofacial Surgery· Davie, FL
Oral & Maxillofacial Surgery (M.D., D.D.S.) in Davie, Florida, licensed in FL, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - maxillofacial surgery.
Overview
| NPI | 1730145061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., D.D.S. |
| Sole proprietor | No |
| NPI issued | Apr 25, 2006 |
| Last updated in NPPES | Jul 9, 2023 |
| Certified by provider | Jul 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Oral & Maxillofacial Surgery Primary | 204E00000X | ME74506 | FL |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | DN 13112 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Maxillofacial Surgery (FL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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