MEDICARE: ALEJANDRO LOPEZ-ROSSITCH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	258510	NY
2	207R00000X	Internal Medicine Physician	ME101960	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528282167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRO LOPEZ-ROSSITCH MD

Provider Business Mailing Address
First Line	:	8240 SW 164TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-5752
Country	:	US
Telephone Number	:	305-815-8785
Fax Number	:	305-815-8785

Provider Business Practice Location Address
First Line	:	8785 SW 165TH AVE STE 105
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-5827
Country	:	US
Telephone Number	:	305-614-1529
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	10/27/2023

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