Provider Demographics
NPI:1780693945
Name:ELROY A. KALME LOPEZ, D.P.M., P.A.
Entity type:Organization
Organization Name:ELROY A. KALME LOPEZ, D.P.M., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELROY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KALME LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:786-280-7301
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:786-280-7301
Mailing Address - Fax:
Practice Address - Street 1:11865 SW 26TH ST
Practice Address - Street 2:UNIT G-10
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-2400
Practice Address - Country:US
Practice Address - Phone:305-559-8333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO-2589213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65477AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
FLU64772Medicare UPIN