Individual
JORGE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 CORAL WAY STE 310, MIAMI, FL 33145-2657
(786) 320-1677
Mailing address
2953 SW 39TH AVE, MIAMI, FL 33134-7352
(786) 320-1677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/13/2021
Last updated
04/23/2025
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