Doctor profile · Federal record
Dr. Eliecer Barrueta Lopez, MD
General Practice Physician (CMS: Internal Medicine) · Student in an Organized Health Care Education/Training Program · Internal Medicine Physician · Palm Coast, FL
- NPI 1083271357
- 30 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
57 Town CT Ste 218
Palm Coast, FL 321642425
(386) 368-8531 - Additional location
-
1768 Richard Ln
West Palm Beach, FL 334066576
(561) 319-5157 - Additional location
-
715 Ave Ponce de Leon
Hato Rey, PR 009175032
(787) 758-2000
fax (787) 771-7699 - Mailing address
-
1768 Richard Ln
West Palm Beach, FL 334066576
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- January 24, 2025
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 208D00000X — NUCC code
- State licenses (3)
- Puerto Rico #23236 · Puerto Rico #15058-I · Florida #ACN1619
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083271357. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$114
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $114.17 |
By nature of payment
Frequently asked questions
What is Dr. Eliecer Barrueta Lopez's medical specialty?
Dr. Eliecer Barrueta Lopez practices General Practice Physician in Palm Coast, FL.
Where does Dr. Eliecer Barrueta Lopez practice?
Dr. Eliecer Barrueta Lopez practices at 57 Town CT Ste 218, Palm Coast, FL 321642425. Office phone: 3863688531.
What is Dr. Eliecer Barrueta Lopez's NPI?
Dr. Eliecer Barrueta Lopez's National Provider Identifier (NPI) is 1083271357, issued by NPPES.
Does Dr. Eliecer Barrueta Lopez accept Medicare assignment?
Dr. Eliecer Barrueta Lopez does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.