Individual
JOSE RAMON LOPEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3362 NW 84TH AVE, DORAL, FL 33122-1096
(786) 301-7093
Mailing address
3362 NW 84TH AVE, DORAL, FL 33122-1096
(786) 301-7093
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-345
FL
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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