Lopez, Jose Carlos

Lopez, Jose Carlos is an sole proprietor health care provider with primary practice located at 654 Ne 9Th Pl , Homestead FL 33030-4934. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Lopez, Jose Carlos can be contacted via phone (305) 248-3488.

Contact Information

Primary practice address
654 Ne 9Th Pl Homestead FL 33030-4934
Phone: (305) 248-3488
Fax: (305) 248-6558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME55324 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME55324 Florida

Profile Details

NPI number 1669515730
LBN Legal business name Lopez, Jose Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Sep 15th, 2021 - about 3 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 1669515730 NPPES
Florida MEDICAID 015064400
Florida Other ME55324

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