# LOPEZ MEDICAL PRACTICE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700083086
- **Authorized official:** OLGA E LOPEZ M.D. (PRESIDENT)
- **Authorized official phone:** (305) 643-6447

## Contact information

- **Practice address:** 351 NW 42ND AVE, SUITE 403, MIAMI, FL 33126-5683
- **Practice address phone:** (305) 643-6447
- **Practice address fax:** (305) 541-5801
- **Mailing address:** PO BOX 651555, MIAMI, FL 33265-1555
- **Mailing address phone:** (305) 643-6447
- **Mailing address fax:** (305) 541-5801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME89435 | FL | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 04/20/2008