Individual
MARIA RAQUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3661 S MIAMI AVE, SUITE209, MIAMI, FL 33133-4236
(786) 924-1311
(786) 924-1313
Mailing address
PO BOX 160010, HIALEAH, FL 33016-0001
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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