# DR. FERNANDO LOPEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1730174319
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME45835 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 07/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0352240004 | CIGNA PPO | FL |
| 01 | — | 0352240013 | CIGNA HMO | FL |
| 05 | — | 041499900 | — | FL |
| 01 | — | 0700182 | UHC | FL |
| 01 | — | 0702702 | UHC-MCAID | FL |
| 01 | — | 08164 | BCBS | FL |
| 01 | — | 103674 | AVMED | FL |
| 01 | — | 115985 | AMERIGROUP | FL |
| 01 | — | 2841691 | AETNA HMO | FL |
| 01 | — | 4603519 | AETNA PPO | FL |
| 01 | — | E21467 | FHHS | FL |
| 01 | — | P2921904 | OXFORD HEALTH | FL |