Individual
MARIA E LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
719 85TH ST, MIAMI BEACH, FL 33141-1109
(786) 354-2973
Mailing address
13500 SW 88TH ST STE 295, MIAMI, FL 33186-1546
(786) 354-2973
(786) 224-0907
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
TTPA581
PR
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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