Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO-0002589 | FL |
NPI | 1013990803 |
---|---|
Provider Name | Dr. Elroy Albert Kalme Lopez |
First Address | Miami, FL 33243-0814 |
Second Address | Miami, FL 33130-4271 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 28/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U64772 | (02) | FL |