Individual
DR. MIGUEL ANGEL LOPEZ-VIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 S SEACREST BLVD, SUITE 200, BOYNTON BEACH, FL 33435-7960
(561) 736-8200
(561) 853-1608
Mailing address
2800 S SEACREST BLVD, SUITE 200, BOYNTON BEACH, FL 33435-7960
(561) 736-8200
(561) 853-1608
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME62294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15251
BLUE CROSS BLUE SHIELD
FL
05
—
371065300
—
FL
Enumeration date
12/08/2006
Last updated
10/19/2017
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