Individual
DR. JUAN A. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4683 NW 112TH CT, DORAL, FL 33178-4347
(305) 477-2081
Mailing address
4683 NW 112TH CT, DORAL, FL 33178-4347
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101285621
VA
2085R0202X
Diagnostic Radiology Physician
104315
GA
2085R0202X
Diagnostic Radiology Physician
2024039991
MO
2085R0202X
Diagnostic Radiology Physician
C201526
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME0074614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258381000
—
FL
Enumeration date
03/28/2007
Last updated
02/25/2026
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