IndividualActive
Omar Balboa Lopez, CSA
NPI 1467769505 · Surgical Technologist · Miami, FL
Provider details
- NPI number
- 1467769505
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10176 (FL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
3661 S Miami Ave
Suite 708
Miami, FL 33133-4236
Phone: (305) 858-9879
Fax: (305) 856-0199
Approximate (ZIP-level) locationGet directions
Mailing address
3661 S Miami Ave
Miami, FL 33133-4236
Registry dates
- Enumerated
- 2010-09-10
- Last updated
- 2010-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.