Lopez Diaz, Manuel

Lopez Diaz, Manuel is an individual health care provider with primary practice located at 9333 Sw 152Nd St Emergency Department, Palmetto Bay FL 33157-1778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lopez Diaz, Manuel can be contacted via phone (305) 256-5001.

Contact Information

Primary practice address
9333 Sw 152Nd St Emergency Department Palmetto Bay FL 33157-1778
Phone: (305) 256-5001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME0083364 Florida

Profile Details

NPI number 1255311338
LBN Legal business name Lopez Diaz, Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated May 1st, 2017 - about 7 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 1255311338 NPPES
Florida MEDICAID 264971300
Florida Other P00414260
Florida Other 28010

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