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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AGUSTIN RODOLFO LOPEZ LEIROS RPH
NPI 1235574484
Nurse Practitioner - Family in Cape Coral, FL

Active since May 01, 2013
1631 DEL PRADO BLVD S STE 300, CAPE CORAL, FL 33990(786) 577-2018(786) 957-5158 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2023, Jan 17, 2023, Aug 18, 2021 (3 updates tracked since 2021).

About Agustin Rodolfo Lopez Leiros Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGUSTIN RODOLFO LOPEZ LEIROS RPH (NPI 1235574484) is an individual family provider in Cape Coral, Florida, licensed in Florida (APRN11023966) and active in the NPI registry since May 2013. He maintains a secondary practice location in Port Charlotte.

NPPES Registry Identity

NPI1235574484
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameAGUSTIN RODOLFO LOPEZ LEIROSCredential: RPH
Location Address1631 DEL PRADO BLVD S STE 300Cape Coral, FL 33990-6740
Mailing Address4102 Nw 39th StCape Coral, FL 33993-7853 · (786) 577-2018 · Fax (786) 957-5158
Phone(786) 577-2018
Fax(786) 957-5158
Sole ProprietorYes
Enumeration DateMay 1, 2013
Last NPPES UpdateJune 19, 20263 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1235574484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11023966
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9574671 (FL)
Also ListedPharmacistTaxonomy 183500000X · License PS47176 (FL)
1631 DEL PRADO BLVD S STE 300, Cape Coral, FL 33990
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Secondary Practice Location 1

Location 11930 Kings HwyPort Charlotte, FL 33980-4214 · Phone (941) 764-8444

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEEREEN ATKINSTALL
Nurse Practitioner (Psychiatric/Mental Health)
1631 DEL PRADO BLVD S STE 300
CAPE CORAL, FL 33990
Lee County (305) 321-3076
RACHEL TINKLEPAUGH
Counselor (Mental Health)
1631 DEL PRADO BLVD S STE 300
CAPE CORAL, FL 33990
Lee County (904) 601-5463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agustin Lopez Leiros's NPI number?

The NPI number for Agustin Lopez Leiros is 1235574484. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Agustin Lopez Leiros located?

Agustin Lopez Leiros practices at 1631 Del Prado Blvd S Ste 300, Cape Coral, FL 33990. The listed phone number is (786) 577-2018.

What is Agustin Lopez Leiros's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Agustin Lopez Leiros was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.