Individual
DR. GABRIEL ENRIQUE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20505 S DIXIE HWY STE 559, CUTLER BAY, FL 33189-1215
(786) 231-0833
Mailing address
13231 SW 22ND ST, MIAMI, FL 33175-1134
(305) 469-0341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC005871
FL
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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