Individual
DR. VICENTE G LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8300 W FLAGLER ST STE 210, MIAMI, FL 33144-6002
(305) 553-0270
(305) 553-0670
Mailing address
8300 W FLAGLER ST STE 210, MIAMI, FL 33144-6002
(305) 553-0270
(305) 553-0670
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME82612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2622475 00
—
FL
Enumeration date
07/17/2006
Last updated
08/19/2011
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