MEDICARE: LEYDA LOPEZ

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
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1932032661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEYDA LOPEZ

Provider Business Mailing Address
First Line	:	1900 WOODLAND CIR
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-2051
Country	:	US
Telephone Number	:	787-502-1296
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 WOODLAND CIR
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-2051
Country	:	US
Telephone Number	:	787-502-1296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ LEYDA LOPEZ ” Practice Location

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