Individual
RICHARD LEANDRO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11657 121ST ST, JAMAICA, NY 11420-2403
(786) 546-0632
Mailing address
11657 121ST ST, JAMAICA, NY 11420-2403
(786) 546-0632
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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