Lopez, Isidro A

Lopez, Isidro A is an individual health care provider with primary practice located at 1495 Nw 20Th St , Miami FL 33142-7723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Lopez, Isidro A can be contacted via phone (305) 549-6000.

Contact Information

Primary practice address
1495 Nw 20Th St Miami FL 33142-7723
Phone: (305) 549-6000
Fax: (305) 549-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME64040 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME64631 Florida

Profile Details

NPI number 1346374212
LBN Legal business name Lopez, Isidro A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 2007 - about 17 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 1346374212 NPPES
Florida MEDICAID 261805200
Florida MEDICAID 373402100
Florida MEDICAID 375128700

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