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NPI Code Detail

MEDICARE: FLAVIA OLIVIA LOPEZ NP-C

MEDICARE:   FLAVIA OLIVIA LOPEZ  NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP142135TX

General Provider Information

NPI Number : 1063072700
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLAVIA OLIVIA LOPEZ NP-C
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 561-570-5172
Fax Number : 786-472-5770
Provider Business Practice Location Address
First Line : 6182 DUNBARTON OAK ST STE B
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-4276
Country : US
Telephone Number : 361-452-9320
Fax Number : 361-452-9321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2019
Last Update Date : 02/17/2026

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Directions to “ FLAVIA OLIVIA LOPEZ NP-C” Practice Location

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