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

Wilson Lopez

Individual provider Family Medicine Physician · NPI 1568492528

Wilson Lopez is a Family Practice in Doral, Florida. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

3155 NW 82nd Ave Ste 102
Doral, FL 33122-1056
Phone: (305) 591-2988
Fax: (305) 591-2995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME89966 (FL)

Record details

NPI number1568492528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address3155 Nw 82nd Ave Ste 102, Doral, FL 33122-1056

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Doral