Individual
MR. RAUL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1550 W 84TH ST STE 15, HIALEAH, FL 33014-3368
(786) 587-7404
Mailing address
1550 W 84TH ST STE 15, HIALEAH, FL 33014-3368
(786) 587-7404
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6361
FL
Other
Enumeration date
08/21/2012
Last updated
12/09/2024
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