Individual
DR. MAYRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4618 N ARMENIA AVE, TAMPA, FL 33603-2706
(813) 997-6042
Mailing address
8904 W HAMILTON AVE, TAMPA, FL 33615-2726
(813) 509-8083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16817
PR
208D00000X
General Practice Physician
Primary
ACN469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009081300
—
FL
Enumeration date
06/29/2007
Last updated
04/23/2026
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