Individual
DR. JUAN CARLOS LOPEZ-MATTEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9800 S HEALTHPARK DR STE 320, FORT MYERS, FL 33908-3630
(239) 343-6350
(239) 343-6358
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17092
PR
207RC0000X
Cardiovascular Disease Physician
Primary
ME154179
FL
207RC0000X
Cardiovascular Disease Physician
N9385
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N9385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112911400
—
FL
05
—
319726101
—
TX
01
—
319726102
CSHCN MEDICAID
TX
Enumeration date
06/01/2007
Last updated
10/15/2025
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