| Rossana Lopez Md Pa | |
|
777 E 25th St Suite 516 Hialeah FL 33013-3825 | |
| (305) 836-1696 | |
| (305) 836-1698 |
| Full Name | Rossana Lopez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Rossana Lopez (OWNER) |
| Authorized Official Contact | 3058361696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rossana Lopez Md Pa 3511 Sw 100th Ave Miami FL 33165-3846 Ph: (305) 836-1696 | Rossana Lopez Md Pa 777 E 25th St Suite 516 Hialeah FL 33013-3825 Ph: (305) 836-1696 |
| NPI Number | 1013262377 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Medicare PECOS PAC ID | 5294985032 |
|---|---|
| Medicare Enrollment ID | O20121101000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013262377 | NPI | - | NPPES |
| 374037400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME64156 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME64156 (Florida) | Primary |
| Provider Name | Rossana Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326159385 PECOS PAC ID: 3476563438 Enrollment ID: I20060504000623 |
| Provider Name | America Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737309 PECOS PAC ID: 4385054782 Enrollment ID: I20201112002640 |
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