Individual
DR. MARTHA E LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
743 NE 167TH ST, MIAMI, FL 33162-2404
(305) 957-0017
(305) 245-8019
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 347-5022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME94668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004459300
—
FL
Enumeration date
03/31/2006
Last updated
01/21/2021
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