Individual
DR. FERNANDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1097 SW 42ND AVE FL 3, MIAMI, FL 33134-2639
(305) 442-2020
Mailing address
1097 SW 42ND AVE, CORAL GABLES, FL 33134-2639
(888) 845-1002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036104977
IL
207W00000X
Ophthalmology Physician
Primary
ME80092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115871100
—
FL
Enumeration date
07/10/2006
Last updated
06/19/2024
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