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NPI Code Detail

MEDICARE: ALEXANDRA L LOPEZ RIVERA MC-MFCT

MEDICARE:   ALEXANDRA L LOPEZ RIVERA  MC-MFCT
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1174756886
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA L LOPEZ RIVERA MC-MFCT
Provider Business Mailing Address
First Line : 4700 MILLENIA BLVD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6019
Country : US
Telephone Number : 404-697-3266
Fax Number : 863-583-0806
Provider Business Practice Location Address
First Line : 4700 MILLENIA BLVD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6019
Country : US
Telephone Number : 404-697-3266
Fax Number : 863-583-0806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2009
Last Update Date : 11/13/2024

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Directions to “ ALEXANDRA L LOPEZ RIVERA MC-MFCT” Practice Location

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