Healthcare Provider Details

I. General information

NPI: 1548125792
Provider Name (Legal Business Name): KENDALL PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 SW 88TH ST STE 287C
MIAMI FL
33186-1528
US

IV. Provider business mailing address

16603 SW 97TH ST
MIAMI FL
33196-5856
US

V. Phone/Fax

Practice location:
  • Phone: 786-541-0730
  • Fax:
Mailing address:
  • Phone: 786-541-0730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSSANA LOPEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 786-541-0730