VICTOR LOPEZ, LLC (NPI# 1629384045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629384045 |
| Entity Type | Organization |
| Organization Name | VICTOR LOPEZ, LLC |
| Other Organization Name | VICTOR KLINGSHIRN, LLC |
| Practice Address |
4308 Alton Rd Ste 740 Miami Beach FL 33140-4557 |
| Mailing Address |
Po Box 190833 Miami Beach FL 33119-0833 |
| Practice Telephone | 3056738570 |
| Practice Fax Number | 3056756163 |
| Mailing Telephone | 3056134575 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | VICTOR LOPEZ (MANAGER) |
| Authorized Official Telephone | 3056134575 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9221773 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9221773 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | PENDING | 01 |
| Other Name | Type Code |
|---|---|
| Victor Klingshirn, LLC | Former Legal Business Name - Organization |
| Street Address |
4308 ALTON RD STE 740 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706470 | Joann Benalloun | Nurse Practitioner | 3467 Prairie Ave, Miami Beach, FL 33140-3428 | 2020-10-07 |
| 1245837871 | Bayla Kessler | Nurse Practitioner | 850 W 43rd Ct, Miami Beach, FL 33140-2923 | 2020-10-06 |
| 1306452156 | Kelly Wolfe | Nurse Practitioner | 1228 West Ave Apt 1104, Miami Beach, FL 33139-4386 | 2020-09-17 |
| 1194336099 | Catherine Vanessa Zarama | Nurse Practitioner | 4300 Alton Rd Apt 203, Miami Beach, FL 33140-2948 | 2020-08-13 |
| 1538770755 | Elena Bogatova | Nurse Practitioner | 6770 Indian Creek Dr Apt 5s, Miami Beach, FL 33141-5749 | 2020-08-11 |
| 1518437755 | Naomi Kira White | Nurse Practitioner | 4316 Nautilus Dr, Miami Beach, FL 33140-2824 | 2018-11-30 |
| 1417426222 | Patricia Ortiz Riveron | Nurse Practitioner | 8305 Crespi Blvd Apt 2a, Miami Beach, FL 33141-1301 | 2018-11-21 |
| 1205348109 | Leydi Wohlfeld | Nurse Practitioner | 300 S Pointe Dr Apt 603, Miami Beach, FL 33139-7339 | 2017-10-31 |
| 1407376148 | Judith Hope Schlossberg | Nurse Practitioner | 220 E Dilido Dr, Miami Beach, FL 33139-1230 | 2017-06-23 |
| 1639607377 | Jennifer Marie Tricarico Leebow | Nurse Practitioner | 1410 20th St Ste 201, Miami Beach, FL 33139-1444 | 2017-05-25 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on VICTOR LOPEZ, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.