Individual
YARISLEIDYS LUIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 SW 80TH ST, MIAMI, FL 33183-3848
(786) 235-8534
Mailing address
8925 NW 33RD AVENUE RD, MIAMI, FL 33147-2809
(786) 953-9808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9521736
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11034500
FL
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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