Eustorgio A Lopez (NPI# 1730145061, PAC ID# 9830286228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1730145061 |
| PAC ID by PECOS | 9830286228 |
| Professional Enrollment ID | I20071101000270 |
| Full Name | Eustorgio A Lopez |
| Organization Legal Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Address |
1611 Nw 12 Ave Jmg Specialty Physicians Miami FL 33136-1005 |
| Phone Number | 3055855315 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 0244380434 |
| Number of Group Practice Members | 265 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100022 | JACKSON HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 | 3055855315 | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Organization Legal Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Physicians | 271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa U Alvarez Castellares | Family Medicine | Public Health Trust of Miami Dade County Florida | 18910 S Dixie Hwy, Uhealth Jackson Urgent Care Cutler Bay, Cutler Bay, FL 33157-7711 |
| Rohit K Chugh | Family Medicine | Public Health Trust of Miami Dade County Florida | 13707 Sw 152 St, Uhealth Jackson Urgent Care Country Walk, Miami, FL 33177-1106 |
| Alexander B Su | Family Medicine | Public Health Trust of Miami Dade County Florida | 13120 Biscayne Blvd, North Miami, FL 33181-2013 |
| Dawn Garcen | Family Medicine | Public Health Trust of Miami Dade County Florida | 16555 Nw 25th Ave, Uhealth Jackson Urgent Care North Dade, Miami Gardens, FL 33054-6583 |
| Joao F Braghiroli | Cardiovascular Disease (cardiology) | Public Health Trust of Miami Dade County Florida | 1801 Nw 9th Ave 2nd Floor, Jmg Specialty Physicians Biscayne, Miami, FL 33136-1101 |
| Jose R Chamorro | Nurse Practitioner | Public Health Trust of Miami Dade County Florida | 9380 Sw 150 Street, 120 Orthopaedic Center Jackson South, Miami, FL 33176-7947 |
| Ambert Louis | Emergency Medicine | Public Health Trust of Miami Dade County Florida | 615 5th St, Miami Beach, FL 33139-6515 |
| Mercy M Gonzalez | Psychiatry | Public Health Trust of Miami Dade County Florida | 15055 Nw 27 Ave, Opa Locka, FL 33054-3365 |
| Rhea B Sancassani | Internal Medicine | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Wanda Mcgowan-braynen | Nurse Practitioner | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Street Address |
1611 NW 12 AVE JMG SPECIALTY PHYSICIANS |
| City | MIAMI |
| State | FL |
| Zip | 33136-1005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhea B Sancassani | Internal Medicine | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Wanda Mcgowan-braynen | Nurse Practitioner | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Diego F Luna | Certified Registered Nurse Anesthetist (crna) | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Daniel R Stairiker | Nurse Practitioner | University of Miami Medicine | 1611 Nw 12 Ave, Miami, FL 33136-1005 |
| Jonathan Guy Azoulai | Emergency Medicine | Public Health Trust of Dade County Florida | 1611 Nw 12 Ave, Miami, FL 33136-1005 |
| Shenee T Murray | Nurse Practitioner | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Shweta Anjan | Infectious Disease | University of Miami Medicine | 1611 Nw 12 Ave, Miami, FL 33136-1005 |
| Adam Wanner | Pulmonary Disease | University of Miami Medicine | 1611 Nw 12 Ave, Miami, FL 33136-1005 |
| Beatriz R Acevedo | Certified Registered Nurse Anesthetist (crna) | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Salih Y Yasin | Obstetrics/gynecology | University of Miami Obstetrics and Gynecology | 1611 Nw 12 Ave, Miami, FL 33136-1005 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramzey Tursun | Oral Surgery | University of Miami | 1611 N W 12th Ave Acc E, Suite 2, Miami, FL 33136 |
| Arshad Kaleem | Maxillofacial Surgery | University of Miami | 1400 Nw12th Ave, Suite 2005, Miami, FL 33136 |
| Michael Peleg | Oral Surgery | University of Miami | 1400 Nw12th Ave, Suite 2005, Miami, FL 33136 |
| Gabriela Albota | Oral Surgery | University of Miami | 1400 Nw12th Ave, Suite 2005, Miami, FL 33136 |
| Yoh Sawatari | Maxillofacial Surgery | University of Miami | 1400 Nw12th Ave, Suite 2005, Miami, FL 33136 |
| Fred F Telischi | Otolaryngology | University of Miami | 1666 Nw 10th Ave, Acc E Suite 304, Miami, FL 33136 |
| Robert E Marx | Oral Surgery | University of Miami | 1400 Nw12th Ave, Suite 2005, Miami, FL 33136 |
| Humberto Gonzalez | Internal Medicine | Jmh Internal Medicine Specialist LLC | 1611 Nw12th Ave, C150, Miami, FL 33136 |
| Fahed Fayad | Radiation Oncology | Fahed Fayad Md Pa | 1400 Nw 12 Ave, Miami, FL 33136 |
| Juanita A Hunter | Pediatric Medicine | University of Miami | 1475 Nw 12th Ave, 130 Umdc Division of Pediatric Cardiology, Miami, FL 33136-1002 |
| Find all physicians in zip 33136 | |||
| City | MIAMI |
| Zip Code | 33136 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | MIAMI + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Eustorgio A Lopez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.