Lopez, Raymond A

Lopez, Raymond A is an sole proprietor health care provider with primary practice located at 4064 Sw 69Th Ave , Miramar FL 33023-6688. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Lopez, Raymond A can be contacted via phone (542) 398-8609.

Contact Information

Primary practice address
4064 Sw 69Th Ave Miramar FL 33023-6688
Phone: (542) 398-8609
Fax: (954) 239-8847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME130127 Florida
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME130127 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 18239 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME130127 Florida

Profile Details

NPI number 1083708747
LBN Legal business name Lopez, Raymond A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Sep 20th, 2022 - 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 1083708747 NPPES
Alabama Other 51097396 BLUE CROSS&BLUE SHIELD

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