Individual
JUAN F LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1490 W 49 PL, SUITE 210, HIALEAH, FL 33012
(305) 823-4008
(305) 823-4009
Mailing address
1490 W 49TH PL, SUITE 210, HIALEAH, FL 33012-3148
(305) 823-4008
(305) 823-4009
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA 51137
FL
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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