Organization
VICTOR LOPEZ DE MENDOZA, MD PLLC
Active
Parent organization
VICTOR LOPEZ DE MENDOZA MD PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VICTOR LOPEZ DE MENDOZA MD PLLC
Authorized official
VICTOR S LOPEZ DE MENDOZA MD (PRESIDENT)
(305) 448-0004
Entity
Organization
Contact information
Practice address
1321 NW 14TH ST, STE 603, MIAMI, FL 33125-1673
(305) 547-1444
(305) 547-6787
Mailing address
PO BOX 651472, MIAMI, FL 33265-1472
(305) 480-6864
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME105859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003708700
—
FL
Enumeration date
03/22/2011
Last updated
01/05/2016
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