Individual
DR. MARIELA LOPEZ SADRAMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4747 BELLAIRE BLVD STE 375, BELLAIRE, TX 77401-4600
(832) 345-6352
Mailing address
14422 SHORESIDE WAY, SUITE 110 BOX 112, WINTER GARDEN, FL 34787
(832) 345-6352
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R1408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417240433
PLASTIC SURGERY
—
Enumeration date
05/24/2011
Last updated
01/30/2025
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