Provider Demographics
NPI:1013004886
Name:LOPEZ, JOSE J (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:J
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:806 S DOUGLAS RD
Mailing Address - Street 2:SUITE 820
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3157
Mailing Address - Country:US
Mailing Address - Phone:305-447-4150
Mailing Address - Fax:305-675-8068
Practice Address - Street 1:806 S DOUGLAS RD
Practice Address - Street 2:SUITE 820
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3157
Practice Address - Country:US
Practice Address - Phone:305-447-4150
Practice Address - Fax:305-675-8068
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2015-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME121566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine