# FAMILY &PEDIATRIC MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1972796514
- **Authorized official:** WILSON LOPEZ MD (PRESIDENT)
- **Authorized official phone:** (305) 591-2988

## Contact information

- **Practice address:** 3155 NW 82ND AVE STE 102, DORAL, FL 33122-1056
- **Practice address phone:** (305) 591-2988
- **Practice address fax:** (305) 591-2995
- **Mailing address:** 3155 NW 82ND AVE STE 102, DORAL, FL 33122-1056
- **Mailing address phone:** (305) 591-2988
- **Mailing address fax:** (305) 591-2995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 07/30/2026