| Dr Melitza Lopez Valle, | |
|
7714 E Colonial Dr, Orlando, FL 32807-8422 | |
| (407) 745-4581 | |
| (407) 745-4583 |
| Full Name | Dr Melitza Lopez Valle |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 7714 E Colonial Dr, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427243021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 18298 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ME137458 (Florida) | Primary |
| Entity Name | Medical Home Alliance, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melitza Lopez Valle, 6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027 Ph: (407) 845-0330 | Dr Melitza Lopez Valle, 7714 E Colonial Dr, Orlando, FL 32807-8422 Ph: (407) 745-4581 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste B-c, Orlando, FL 32807 Phone: 407-382-1376 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Dr. Miguel Angel Pereira Sosa, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6210 W Colonial Dr Ste 100, Orlando, FL 32808 Phone: 407-931-0444 Fax: 407-962-4446 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 12301 Lake Underhill Rd Ste 215, Orlando, FL 32828 Phone: 321-235-0692 Fax: 321-235-0694 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |