Lopez-Canino, Jorge

Lopez-Canino, Jorge is an sole proprietor health care provider with primary practice located at 15495 Eagle Nest Ln Ste 245 , Miami Lakes FL 33014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lopez-Canino, Jorge can be contacted via phone (305) 330-6692.

Contact Information

Primary practice address
15495 Eagle Nest Ln Ste 245 Miami Lakes FL 33014
Phone: (305) 330-6692
Fax: (305) 330-6686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME123509 Florida

Profile Details

NPI number 1184813149
LBN Legal business name Lopez-Canino, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2007
Last updated Mar 23rd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184813149 NPPES
Florida MEDICAID 015 521 800

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