Provider Demographics
NPI:1568953511
Name:LOPEZ-FERNANDEZ, ORLANDO JR (MD)
Entity Type:Individual
Prefix:
First Name:ORLANDO
Middle Name:
Last Name:LOPEZ-FERNANDEZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 PONCE DE LEON BLVD STE 1480
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6921
Mailing Address - Country:US
Mailing Address - Phone:786-878-5500
Mailing Address - Fax:786-552-9696
Practice Address - Street 1:2800 PONCE DE LEON BLVD STE 1480
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6921
Practice Address - Country:US
Practice Address - Phone:786-878-5500
Practice Address - Fax:786-552-9696
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL35870207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology