Provider Demographics
NPI:1114421187
Name:LINARES LOPEZ, MIGDALINA
Entity Type:Individual
Prefix:
First Name:MIGDALINA
Middle Name:
Last Name:LINARES LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 NE 33RD ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-7346
Mailing Address - Country:US
Mailing Address - Phone:239-628-0301
Mailing Address - Fax:
Practice Address - Street 1:1806 NE 33RD ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-7346
Practice Address - Country:US
Practice Address - Phone:239-628-0301
Practice Address - Fax:850-757-0091
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion