Provider Demographics
NPI:1073895066
Name:ALMA DEL R LOPEZ
Entity Type:Organization
Organization Name:ALMA DEL R LOPEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANQUAGE PATHOLIGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:DEL R
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:787-597-4000
Mailing Address - Street 1:3305 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6125
Mailing Address - Country:US
Mailing Address - Phone:787-597-4000
Mailing Address - Fax:407-513-4368
Practice Address - Street 1:3305 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6125
Practice Address - Country:US
Practice Address - Phone:787-597-4000
Practice Address - Fax:407-513-4368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5510235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty