Individual
ALBERTO TOMAS LOPEZ LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4791 W 4TH AVE, HIALEAH, FL 33012-3938
(305) 825-0500
(305) 825-5557
Mailing address
9500 S DADELAND BLVD STE 200, MIAMI, FL 33156-2866
(305) 468-4185
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9365056
FL
Other
Enumeration date
07/09/2018
Last updated
02/24/2021
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