Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Walter Antonio Cisneros Lopez, MD

Individual provider Surgical Assistant · NPI 1578136792

Walter Antonio Cisneros Lopez, MD is a Surgical Assistant in Atlantis, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone: (561) 548-1711
Fax: (561) 548-1743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)
Surgical Assistant Taxonomy 246ZC0007X · Licence 20-248 (FL)

Record details

NPI number1578136792
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 24, 2021
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

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