IndividualActive
Lidice Lopez, PA
NPI 1629231980 · Physician Assistant · Miami, FL
Provider details
- NPI number
- 1629231980
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9104530 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1400 Nw 12th Ave
Suite 104
Miami, FL 33136-1003
Phone: (305) 545-6685
Fax: (305) 565-6687
Approximate (ZIP-level) locationGet directions
Mailing address
261 W 32nd St
Hialeah, FL 33012-5317
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2009-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.