MEDICARE: RUBEN LOPEZ JR

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366957730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBEN LOPEZ JR

Provider Business Mailing Address
First Line	:	4930 SW 131ST AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5310
Country	:	US
Telephone Number	:	305-877-9835
Fax Number	:

Provider Business Practice Location Address
First Line	:	4930 SW 131ST AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5310
Country	:	US
Telephone Number	:	305-877-9835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2017
Last Update Date	:	12/07/2017

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1114099108 — EVELYN RUSSO L.M.T.
Practice Location Address:

5750 SW 42ND ST
MIAMI, FL
33155-5310

Practice Phone: 305-790-2300
Practice Fax:

1295491090 — FLOR DE MARIA MACAVILCA BS
Practice Location Address:

930 NE 155TH ST
NORTH MIAMI BEACH, FL
33162-5310

Practice Phone: 786-267-2919
Practice Fax:

1629810692 — LISANDRA PEREZ BARRIOS
Practice Location Address:

5310 NW 182ND ST
MIAMI GARDENS, FL
33055-3153

Practice Phone: 305-992-2710
Practice Fax:

1649088642 — NICOLE MENA
Practice Location Address:

5310 SW 95TH CT
MIAMI, FL
33165-6436

Practice Phone: 305-491-4931
Practice Fax:

1205631652 — GONZALO LEON JR.
Practice Location Address:

530 W PARK DR APT 203
MIAMI, FL
33172-5310

Practice Phone: 786-714-9140
Practice Fax:

Directions to “ RUBEN LOPEZ JR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.