Individual provider · Type 1 NPI
Odalis Lopez Gonzalez
Psychiatric/Mental Health Nurse Practitioner · Miami, FL
NPI number
1295604973
Active
Practice location
16801 SW 109th Ct, 16801 SW 109 Ct
Miami, FL 33157-4054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11043298 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295604973
Odalis Lopez Gonzalez's National Provider Identifier is 1295604973, issued on Nov 1, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Miami, FL. The record was last updated on Nov 1, 2025.