Individual
JUAN CARLOS LOPEZ FRONTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
8245 LAKE DR APT 404, DORAL, FL 33166-7782
(407) 675-1489
Mailing address
8245 LAKE DR APT 404, DORAL, FL 33166-7782
(407) 675-1489
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-225
WI
246ZS0410X
Surgical Technologist
Primary
24-225
WI
Other
Enumeration date
05/03/2024
Last updated
04/06/2026
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