Fabian a Lopez MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

79561 Issued in FL

Legal business name

FABIAN A LOPEZ MD PA

Practice address

4302 Alton Rd
Ste 430
Miami Beach, FL 33140-2891

Phone

(305) 673-8570

Fax

(305) 673-8571

NPI assigned

Dec 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fabian A Lopez, MD

Title

President

Phone

(305) 673-8570

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1861675886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190367",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331190367",
            "telephone_number": "305-673-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "STE 430",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-673-8570",
            "fax_number": "305-673-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIAN A LOPEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-673-8570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "79561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.