ELDA LOPEZ (NPI# 1538141809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538141809 |
| Entity Type | Individual |
| Full Name | ELDA LOPEZ |
| Credential | MD |
| Practice Address |
10631 N Kendall Dr Suite 125 Miami FL 33176-1568 |
| Practice Telephone | 3055988000 |
| Practice Fax Number | 3055988019 |
| Mailing Telephone | 3055988000 |
| Mailing Fax Number | 3055988019 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME86541 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 62892C | 01 |
| FL | 265870400 | 05 |
| Street Address |
10631 N KENDALL DR SUITE 125 |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001204 | Elda M Lopez LLC | Psychiatry & Neurology | 10631 N Kendall Dr, Miami, FL 33176-1568 | 2016-09-21 |
| 1982051884 | Pinnacle Family Services of Florida, LLC | Community/Behavioral Health | 10631 N Kendall Dr, Suite 155, Miami, FL 33176-1568 | 2016-05-20 |
| 1437526035 | Pinnacle Family Services of Florida, LLC. | Community/Behavioral Health | 10631 N Kendall Dr, Suite 155, Miami, FL 33176-1568 | 2015-08-31 |
| 1679949929 | Pinnacle Family Services of Florida, LLC. | Community/Behavioral Health | 10631 N Kendall Dr, Suite 155, Miami, FL 33176-1568 | 2015-08-20 |
| 1184043135 | Woolman & Associates | Counselor | 10631 N Kendall Dr, Executive Center Suite 1201, Miami, FL 33176-1568 | 2014-04-07 |
| 1669722344 | Annareya Garcia | Counselor | 10631 N Kendall Dr, Miami, FL 33176-1568 | 2012-09-11 |
| 1275760779 | Palm Psychiatric, Inc | Psychologist | 10631 N Kendall Dr, Suite 125, Miami, FL 33176-1568 | 2009-06-11 |
| 1790893212 | Cheryll Blackshear | Counselor | 10631 N Kendall Dr, Suite 115, Miami, FL 33176-1568 | 2006-08-25 |
| 1861507337 | Robin Tassler | Counselor | 10631 N Kendall Dr, Suite 115, Miami, FL 33176-1568 | 2006-08-21 |
| 1336254929 | Professional Health Network Inc | Counselor | 10631 N Kendall Dr, Suite 115, Miami, FL 33176-1568 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1033490024 | Maria Elda Mendez-perez | Psychiatry & Neurology | 11715 Sw 18th St, # 307, Miami, FL 33175-1623 | 2011-09-02 |
| 1821310632 | Osvaldo Antonio Fernandez Dominguez | Psychiatry & Neurology | 1190 Nw 95th St Ste 203, Miami, FL 33150-2064 | 2010-02-20 |
| 1720084494 | Myron Harasym | Psychiatry & Neurology | 10872 Sw 89th St, Miami, FL 33176-1364 | 2005-06-27 |
| 1174177554 | Miami Beach Mood and Adhd Therapies LLC | Psychiatry & Neurology | 5088 Nw 74th Ave, Miami, FL 33166-5551 | 2019-07-24 |
| 1417401357 | Pediatric Specialty Group, Inc. | Psychiatry & Neurology | 3100 Sw 62nd Ave, Division of Psychiatry- 2nd Floor, Miami, FL 33155-3009 | 2016-08-09 |
| 1821450743 | Shariful Syed | Psychiatry & Neurology | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2016-03-22 |
| 1508235359 | Gilbert A Smith | Psychiatry & Neurology | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2015-09-23 |
| 1386036945 | Autism Psychiatry, Incorporated | Psychiatry & Neurology | 9700 S Dixie Hwy, Suite 930, Miami, FL 33156-2800 | 2015-02-19 |
| 1568860419 | Mauricio Enrique Rodriguez | Psychiatry & Neurology | 5088 Nw 74th Ave, Miami, FL 33166-5551 | 2014-12-09 |
| Find all providers in MIAMI | ||||
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| 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.