Individual
DR. JOSE ROBERTO LOPEZ FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7769 NW 48TH ST, SUITE 180, DORAL, FL 33166-5457
(786) 801-3977
Mailing address
7769 NW 48TH ST, SUITE 180, DORAL, FL 33166-5457
(786) 801-3977
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
11862
FL
Other
Enumeration date
09/28/2016
Last updated
10/09/2016
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