Individual
DR. ISIDRO A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1495 NW 20TH ST, MIAMI, FL 33142-7723
(305) 549-6000
(305) 549-6006
Mailing address
1495 NW 20TH ST, MIAMI, FL 33142-7723
(305) 549-6000
(305) 549-6006
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
ME64040
FL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME64631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261805200
—
FL
05
—
373402100
—
FL
05
—
375128700
—
FL
Enumeration date
03/15/2007
Last updated
07/09/2007
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