Individual
DR. RAYMOND A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4064 SW 69TH AVE, MIRAMAR, FL 33023-6688
(542) 398-8609
(954) 239-8847
Mailing address
16900 NORTH BAY RD 2217, SUNNY ISLES, FL 33160-6274
(256) 508-9002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME130127
FL
207QA0505X
Adult Medicine Physician
ME130127
FL
207V00000X
Obstetrics & Gynecology Physician
18239
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME130127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51097396
BLUE CROSS&BLUE SHIELD
AL
Enumeration date
10/03/2006
Last updated
09/20/2022
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