| Irene Lopez-albelo Md Pa | |
|
17892 Sw 152nd Ct Miami FL 33187 | |
| (305) 491-4955 | |
| (786) 592-2774 |
| Full Name | Irene Lopez-albelo Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 17892 Sw 152nd Ct, Miami, Florida |
| Authorized Official Name and Position | Irene Lopez-albelo (OWNER) |
| Authorized Official Contact | 3054914955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Lopez-albelo Md Pa 17892 Sw 152nd Ct Miami FL 33187-7764 Ph: (305) 491-4955 | Irene Lopez-albelo Md Pa 17892 Sw 152nd Ct Miami FL 33187 Ph: (305) 491-4955 |
| NPI Number | 1447302567 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 10/03/2018 |
| Medicare PECOS PAC ID | 3971571266 |
|---|---|
| Medicare Enrollment ID | O20040923001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447302567 | NPI | - | NPPES |
| 268412800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME86022 (Florida) | Primary |
| Provider Name | Irene Lopez Albelo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528026762 PECOS PAC ID: 3779551064 Enrollment ID: I20040924000295 |
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