ISIDRO A LOPEZ MD PA NPI 1508829581

NPI Information

  • NPI: 1508829581
  • Provider Name: ISIDRO A LOPEZ MD PA
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Other Name: CARMEN M ALFONZO MD
  • CLIA Number: 10D2042765
  • Address: 1495 NW 20 STREET
    MIAMI, FL
    ZIP 33142
  • Phone: (305) 549-6000

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NPI Details

ISIDRO A LOPEZ MD PA is a pediatrics in Miami, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ISIDRO A LOPEZ MD PA NPI is 1508829581. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Carmen M Alfonzo Md.

The provider's business location address is:

1495 NW 20 STREET
MIAMI, FL
ZIP 33142
Phone: (305) 549-6000
Fax: (305) 549-6006

The provider's authorized official is Isidro Antonio Lopez .
The authorized official title is President and has the following contact phone number (305) 549-6000.

The CLIA number assigned to this NPI record is 10D2042765 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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