Provider Demographics
NPI:1467570762
Name:LOPEZ, HILDA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:MARIA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 GRANADA BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6344
Mailing Address - Country:US
Mailing Address - Phone:305-444-3430
Mailing Address - Fax:
Practice Address - Street 1:3114 GRANADA BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6344
Practice Address - Country:US
Practice Address - Phone:305-444-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0024390207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL91885XMedicare ID - Type Unspecified
FLD59849Medicare UPIN