MEDICARE: MARGARITA 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11028283	FL

General Provider Information

NPI Number	:	1770340846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA LOPEZ

Provider Business Mailing Address
First Line	:	3000 BISCAYNE BLVD STE 216&211
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-4130
Country	:	US
Telephone Number	:	786-220-1969
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 BISCAYNE BLVD STE 216
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-4129
Country	:	US
Telephone Number	:	786-220-1969
Fax Number	:

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

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	09/03/2025

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Directions to “ MARGARITA LOPEZ ” Practice Location

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