Lopez, Marcos Antonio

Lopez, Marcos Antonio is an individual health care provider with primary practice located at 1490 Nw 27Th Ave Ste 130 , Miami FL 33125-2173. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Lopez, Marcos Antonio can be contacted via phone (305) 635-7710.

Contact Information

Primary practice address
1490 Nw 27Th Ave Ste 130 Miami FL 33125-2173
Phone: (305) 635-7710
Fax: (786) 621-7816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9283150 Florida

Profile Details

NPI number 1114370350
LBN Legal business name Lopez, Marcos Antonio
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2016
Last updated Jul 21st, 2022 - about 4 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 1114370350 NPPES
Florida MEDICAID 021904100

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