Cisneros Lopez, Walter Antonio

Cisneros Lopez, Walter Antonio is an sole proprietor health care provider with primary practice located at 5301 S Congress Ave , Atlantis FL 33462-1149. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Cisneros Lopez, Walter Antonio can be contacted via phone (561) 548-1711.

Contact Information

Primary practice address
5301 S Congress Ave Atlantis FL 33462-1149
Phone: (561) 548-1711
Fax: (561) 548-1743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 20-248 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida

Profile Details

NPI number 1578136792
LBN Legal business name Cisneros Lopez, Walter Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2021
Last updated Apr 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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