Individual
JUAN ALBERT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1616 WOODWARD ST, ORLANDO, FL 32803-4142
(407) 896-1181
(407) 898-1623
Mailing address
1616 WOODWARD ST, ORLANDO, FL 32803-4142
(407) 896-1181
(407) 898-1623
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME59006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053348300
—
FL
01
—
340004768
RAILROAD MEDICARE
—
Enumeration date
06/29/2006
Last updated
01/28/2008
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