Individual
MS. ALINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-3669
Mailing address
1666 NW 10 AVE, BOX 016960 (M851), MIAMI, FL 33136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
AY1154
FL
235Z00000X
Speech-Language Pathologist
Primary
SA6666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003851-00
—
FL
Enumeration date
07/17/2006
Last updated
06/03/2024
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