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Individual
ROBERTO A LOPEZ
Active
Individual
ROBERTO A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44338
AZ
207R00000X
Internal Medicine Physician
Primary
ME135370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024695300
—
FL
05
—
633381
—
AZ
01
—
9BCIX
FLORIDA BLUE
FL
01
—
JJ033Z
MEDICARE
FL
Enumeration date
08/03/2011
Last updated
08/26/2020
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