# VICENTE G LOPEZ MD PA

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

## Provider details

- **NPI number:** 1861791295
- **Authorized official:** DR. VICENTE G LOPEZ MD (PRESIDENT)
- **Authorized official phone:** (786) 546-4855

## Contact information

- **Practice address:** 8300 W FLAGLER ST, SUITE 210, MIAMI, FL 33144-6000
- **Practice address phone:** (786) 546-4855
- **Practice address fax:** (305) 274-0692
- **Mailing address:** 8300 W FLAGLER ST, SUITE 210, MIAMI, FL 33144-6000
- **Mailing address phone:** (786) 546-4855
- **Mailing address fax:** (305) 274-0692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME82612 | FL | Yes |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 03/24/2011