Healthcare Provider Details

I. General information

NPI: 1932070448
Provider Name (Legal Business Name): CATHERINE A. LOPEZ, D.M.D., P.A,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8225 COMMERCE WAY STE 140-145
MIAMI LAKES FL
33016-1656
US

IV. Provider business mailing address

8225 COMMERCE WAY STE 140-145
MIAMI LAKES FL
33016-1656
US

V. Phone/Fax

Practice location:
  • Phone: 305-788-5491
  • Fax:
Mailing address:
  • Phone: 305-788-5491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHERINE ANNE LOPEZ GARCIA
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 305-788-5491