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Individual
MR. REMBERTO LOPEZ
Active
Individual
MR. REMBERTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME120649
FL
207Q00000X
Family Medicine Physician
Q1206
TX
363AM0700X
Medical Physician Assistant
PA9102608
FL
390200000X
Student in an Organized Health Care Education/Training Program
BP10040024
TX
Other
Enumeration date
07/05/2006
Last updated
04/29/2020
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