ODALIS LOPEZ GONZALEZ NPI 1295604973

NPI Information

  • NPI: 1295604973
  • Provider Name: ODALIS LOPEZ GONZALEZ
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 16801 SW 109TH CT
    16801 SW 109 CT
    MIAMI, FL
    ZIP 33157
  • Phone: (786) 227-7649

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NPI Details

Odalis Lopez Gonzalez is a psychiatric/mental health nurse practitioner in Miami, FL. Odalis Lopez Gonzalez NPI is 1295604973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16801 SW 109TH CT
16801 SW 109 CT
MIAMI, FL
ZIP 33157-054
Phone: (786) 227-7649

The enumeration date for this NPI number is 11/1/2025 and was last updated on 11/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health11043298FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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