Lopez, Rafael Roberto

Lopez, Rafael Roberto is an individual health care provider with primary practice located at 3347 State Road 7 Suite 101, Wellington FL 33449-8095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lopez, Rafael Roberto can be contacted via phone (561) 790-2111.

Contact Information

Primary practice address
3347 State Road 7 Suite 101 Wellington FL 33449-8095
Phone: (561) 790-2111
Fax: (561) 790-0893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME58240 Florida

Profile Details

NPI number 1124006358
LBN Legal business name Lopez, Rafael Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Nov 15th, 2016 - about 8 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 1124006358 NPPES
Florida Other 1249241 WELLCARE
Florida Other 4200237 WELLCARE
Florida Other 1004922 WELLCARE
Florida Other 11453 WELLCARE
Florida Other 7851 WELLCARE
Florida Other P01606329 WELLCARE
Florida MEDICAID 064063800 WELLCARE

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