Organization
DR VIDAL N LOPEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDAL N LOPEZ MD (PSYCHIATRIST)
(305) 480-5680
Entity
Organization
Contact information
Practice address
2682 SW 87TH AVE, MIAMI, FL 33165-2000
(305) 480-5680
(305) 480-5702
Mailing address
2682 SW 87TH AVE, MIAMI, FL 33165-2000
(305) 480-5680
(305) 480-5702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH4844
FL
2084P0800X
Psychiatry Physician
Primary
ME14047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038015600
—
FL
Enumeration date
05/12/2017
Last updated
05/12/2017
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