Individual
LUIS M. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10550 NW 77TH CT STE 313-314, HIALEAH GARDENS, FL 33016-7084
(305) 825-4320
Mailing address
10706 NW 88TH AVE, HIALEAH GARDENS, FL 33018-4612
(305) 600-7790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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