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NPI Code Detail

MEDICARE: CRISTIAN PETER LOPEZ

MEDICARE: CRISTIAN PETER LOPEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1285583906
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTIAN PETER LOPEZ
Provider Business Mailing Address
First Line : 14202 N 42ND ST
Second Line :
City : TAMPA
State : FL
Zip : 33613-5110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5028 SILVER CHARM TER
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-1582
Country : US
Telephone Number : 908-938-1577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ CRISTIAN PETER LOPEZ ” Practice Location

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