Organization
GLORIA LOPEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA LOPEZ MD (OWNER)
(305) 443-2324
Entity
Organization
Contact information
Practice address
747 PONCE DE LEON BLVD STE 603, CORAL GABLES, FL 33134-2074
(305) 443-2324
(305) 290-3180
Mailing address
747 PONCE DE LEON BLVD STE 603, CORAL GABLES, FL 33134-2074
(305) 443-2324
(305) 290-3180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376045600
—
FL
Enumeration date
10/27/2015
Last updated
10/27/2015
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