Individual
JUAN GABRIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 SW 87TH AVE STE 100, MIAMI, FL 33173-5458
(786) 204-4201
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 204-4201
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME162030
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
04/08/2024
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