EDUARDO ANDRES LOPEZ GONZALEZ
NPI 1487154514
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since February 15, 2018
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-5215 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2020, Feb 15, 2018 (2 updates tracked since 2018).

About Eduardo Andres Lopez Gonzalez NPPES

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

EDUARDO ANDRES LOPEZ GONZALEZ (NPI 1487154514) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Puerto Rico (6144690) and active in the NPI registry since February 2018. He maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1487154514
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDUARDO ANDRES LOPEZ GONZALEZ
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing AddressPo Box 361807San Juan, PR 00936-1807 · (787) 692-2908
Sole ProprietorNo
Enumeration DateFebruary 15, 2018
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
NPI 1487154514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PR · 6144690
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 11156 Calle 62 SESan Juan, PR 00921-2724 · Phone (787) 758-2525

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Critical Care Medicine)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE, PHARMACY DEPARTMENT
MIAMI, FL 33136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487154514, enumerated as an "individual" on February 15, 2018.

The provider is located at 1611 NW 12TH AVE MIAMI, FL 33136 and the phone number is (305) 585-5215.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.