Individual
MS. ASTRID JANNETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 MAGNOLIA AVE SW, WINTER HAVEN, FL 33880-2943
(866) 234-8534
(863) 837-4441
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
(863) 837-4441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
13544
PR
208000000X
Pediatrics Physician
C10007949
DE
208000000X
Pediatrics Physician
Primary
ME98788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01390000
AMERIGROUP
FL
01
—
148FZ
BC/BS
FL
05
—
281178200
—
FL
01
—
51807
CIGNA
FL
05
—
81178200
—
FL
01
—
B1510
TRIPLE SSS
PR
Enumeration date
04/27/2006
Last updated
01/09/2025
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