Most Relevant Information
Provider Data
| NPI Number: | 1003454455 |
| Provider Name: | MISLAIDY LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 11005339 |
Most Important Dates
| Enumeration Date: | 12/17/2019 |
| Last Updated: | 12/17/2019 |
Provider Practice Location
714 E 18TH ST
HIALEAH
FL
330134126
Practice Location Phone/Fax
| Phone: | 3053082148 |
| Fax: |
Provider Mailing Location
714 E 18TH ST
HIALEAH
FL
330134126
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR