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General NPI Number Information
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NPI Number | 1427289206
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Entity Type | Individual
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Provider Name | LUISA M. NIEVES LOPEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 6320 OLD WINTER GARDEN RD
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City | ORLANDO
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State | FL
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Zip | 32835-1381
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Country | US
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Telephone | 407-729-9694
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Fax | 866-554-1716
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Provider Business Mailing Address
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Address Line | PO BOX 1212
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City | TOA ALTA
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State | PR
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Zip | 00954-1212
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Country | US
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Telephone | 787-870-4704
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Fax | 800-476-8048
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17673
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License Number State | PR
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