Individual
DR. GABRIEL ALEJANDRO LOPEZ VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
(407) 647-5431
Mailing address
2045 SHROUD ST UNIT 103, ORLANDO, FL 32814-6911
(585) 203-6086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME1335509
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/30/2014
Last updated
11/26/2019
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