Individual
MILAGROS LOPEZ-VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22750 ROCKSIDE RD, BEDFORD, OH 44146-1574
(440) 232-9800
Mailing address
PO BOX 5534, CAROL STREAM, IL 60197-5534
(740) 374-4500
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-057508
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35.057508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125648
ANTHEM
OH
05
—
0752216
—
OH
05
—
3810022345
—
WV
Enumeration date
12/09/2005
Last updated
09/15/2015
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