Provider Demographics
NPI:1013990803
Name:KALME LOPEZ, ELROY ALBERT (DPM)
Entity Type:Individual
Prefix:DR
First Name:ELROY
Middle Name:ALBERT
Last Name:KALME LOPEZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 430814
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-0814
Mailing Address - Country:US
Mailing Address - Phone:786-531-6800
Mailing Address - Fax:
Practice Address - Street 1:1227 SW 3RD AVE APT 504
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-4271
Practice Address - Country:US
Practice Address - Phone:786-531-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO-0002589213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU64772Medicare UPIN
FL65477Medicare ID - Type UnspecifiedMEDICARE