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NPI Code Detail

MEDICARE: BEATRIZ VALERIA LOPEZ GONZALEZ

MEDICARE: BEATRIZ VALERIA LOPEZ GONZALEZ
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
1363AS0400XSurgical Physician Assistant9121734FL

General Provider Information

NPI Number : 1609722180
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRIZ VALERIA LOPEZ GONZALEZ
Provider Business Mailing Address
First Line : 9801 BELVEDERE RD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-3640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9801 BELVEDERE RD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-3640
Country : US
Telephone Number : 561-273-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2026
Last Update Date : 05/26/2026

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Directions to “ BEATRIZ VALERIA LOPEZ GONZALEZ ” Practice Location

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