Lopez De Mendoza, Victor Sergio
Lopez De Mendoza, Victor Sergio is an sole proprietor health care provider with primary practice located at 3661 S Miami Ave Ste 901 , Miami FL 33133-4214. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Lopez De Mendoza, Victor Sergio can be contacted via phone (786) 717-8003.Contact Information
Primary practice address
3661 S Miami Ave Ste 901
Miami FL 33133-4214
Phone: (786) 717-8003
Fax: (786) 513-8535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 105859 | Florida |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 105859 | Florida |
Profile Details
NPI number | 1073667770 |
---|---|
LBN Legal business name | Lopez De Mendoza, Victor Sergio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 22nd, 2007 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073667770 | NPPES |
Florida | Other | 105859 | ME |
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