Individual
VICTOR SERGIO LOPEZ DE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3661 S MIAMI AVE STE 901, MIAMI, FL 33133-4214
(786) 717-8003
(786) 513-8535
Mailing address
3661 S MIAMI AVE STE 901, MIAMI, FL 33133-4214
(786) 717-8003
(786) 513-8335
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
105859
FL
208M00000X
Hospitalist Physician
105859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105859
ME
FL
Enumeration date
01/22/2007
Last updated
03/07/2023
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