Lopez-Guerrero, Rene Luis

Lopez-Guerrero, Rene Luis is an sole proprietor health care provider with primary practice located at 3100 Sw 62Nd Ave , Miami FL 33155-3009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Lopez-Guerrero, Rene Luis can be contacted via phone (305) 643-0133.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Miami FL 33155-3009
Phone: (305) 643-0133
Fax: (305) 643-1728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME0049266 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0049266 Florida

Profile Details

NPI number 1104824077
LBN Legal business name Lopez-Guerrero, Rene Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Feb 27th, 2019 - about 5 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 1104824077 NPPES
Florida MEDICAID 046697200

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