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Individual

CARLOS LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 GRAND AVE, CORAL GABLES, FL 33133
(305) 441-7179
(305) 448-7134
Mailing address
215 GRAND AVE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME 93502
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273059600
FL
Enumeration date
09/22/2006
Last updated
07/31/2018
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