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Eliecer Barrueta Lopez, MD
General Practice Physician in West Palm Beach, Florida
NPI 1083271357

Eliecer Barrueta Lopez is a General Practice Physician based in West Palm Beach, FL. Eliecer Barrueta Lopez practices in West Palm Beach, FL and has the professional credentials of MD. The NPI Number for Eliecer Barrueta Lopez is 1083271357 and holds a License No. 15058-I (Florida).

The current practice location address for Eliecer Barrueta Lopez is 1768 Richard Ln, West Palm Beach, FL and can be reached out via phone at 561-319-5157.

Location: 1768 Richard Ln, West Palm Beach, FL, 33406-6576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083271357
Provider Name
Eliecer Barrueta Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1768 Richard Ln, West Palm Beach, FL, 33406-6576
Phone Number
561-319-5157
Fax Number
Provider Enumeration Date
05/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1768 Richard Ln
City
West Palm Beach
State
Florida
Zip
33406-6576
Phone Number
561-319-5157
Fax Number
person
Provider Business Mailing Address Details
Address
1768 Richard Ln
City
West Palm Beach
State
Florida
Zip
33406-6576
Phone Number
561-319-5157
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
23236 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
15058-I ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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