Healthcare Provider Details

I. General information

NPI: 1255736047
Provider Name (Legal Business Name): NITIAH BEATRIZ LOPEZ-LIMA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 10/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 SANTANDER AVE APT E
CORAL GABLES FL
33134-6538
US

IV. Provider business mailing address

437 SANTANDER AVE APT E
CORAL GABLES FL
33134-6538
US

V. Phone/Fax

Practice location:
  • Phone: 305-519-7848
  • Fax:
Mailing address:
  • Phone: 305-519-7848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP3148452
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP3148452
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: