Healthcare Provider Details

I. General information

NPI: 1063338283
Provider Name (Legal Business Name): LUCERO LOPEZ-PINTADO PMHNP-BC, PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3669 NW 18TH ST
MIAMI FL
33125-1753
US

IV. Provider business mailing address

11752 SW 187TH TER
MIAMI FL
33177-3219
US

V. Phone/Fax

Practice location:
  • Phone: 305-728-9834
  • Fax:
Mailing address:
  • Phone: 305-728-9834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP312964
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: