Individual
MR. JESUS JOSEPH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8950 N KENDALL DR STE 504W, MIAMI, FL 33176-2127
(786) 595-0575
(786) 591-6186
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 662-7980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9110849
FL
363A00000X
Physician Assistant
Primary
PA9110849
FL
Other
Enumeration date
01/02/2018
Last updated
03/24/2026
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