# FABIAN A LOPEZ MD PA

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

## Provider details

- **NPI number:** 1861675886
- **Authorized official:** FABIAN A LOPEZ MD (PRESIDENT)
- **Authorized official phone:** (305) 673-8570

## Contact information

- **Practice address:** 4302 ALTON RD, STE 430, MIAMI BEACH, FL 33140-2891
- **Practice address phone:** (305) 673-8570
- **Practice address fax:** (305) 673-8571
- **Mailing address:** PO BOX 190367, MIAMI BEACH, FL 33119-0367
- **Mailing address phone:** (305) 673-8570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 79561 | FL | Yes |

## Other

- **Enumeration date:** 12/12/2007
- **Last updated:** 06/10/2009