Provider Demographics
NPI:1710160783
Name:ARNALDO V. LOPEZ MD PA
Entity Type:Organization
Organization Name:ARNALDO V. LOPEZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:V
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:305-541-3230
Mailing Address - Street 1:1545 SW 1ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2163
Mailing Address - Country:US
Mailing Address - Phone:305-541-3230
Mailing Address - Fax:305-541-1650
Practice Address - Street 1:1545 SW 1ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2136
Practice Address - Country:US
Practice Address - Phone:305-541-3230
Practice Address - Fax:305-541-1650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0024389207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL054864200Medicaid
FLFK839AOtherMEDICARE PTAN
FLD58219Medicare UPIN