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NPI Code Detail

MEDICARE: MARIA DEL CARMEN LOPEZ

MEDICARE: MARIA DEL CARMEN 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 Technician25-451783FL

General Provider Information

NPI Number : 1356290522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DEL CARMEN LOPEZ
Provider Business Mailing Address
First Line : 2014 FUNSTON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-6926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2014 FUNSTON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-6926
Country : US
Telephone Number : 305-610-5688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ MARIA DEL CARMEN LOPEZ ” Practice Location

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