Individual
AGUSTIN RODOLFO LOPEZ LEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
955 E 25TH ST APT 456, HIALEAH, FL 33013-3473
(786) 218-5814
Mailing address
955 E 25TH ST APT 456, HIALEAH, FL 33013-3473
(786) 218-5814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9574671
FL
183500000X
Pharmacist
Primary
PS47176
FL
363LF0000X
Family Nurse Practitioner
APRN11023966
FL
Other
Enumeration date
05/01/2013
Last updated
10/15/2025
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