Provider Demographics
NPI:1609348762
Name:ALDANA LOPEZ, ISBEL M
Entity Type:Individual
Prefix:
First Name:ISBEL
Middle Name:M
Last Name:ALDANA 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 1:9842 N KENDALL DR APT A206
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1889
Mailing Address - Country:US
Mailing Address - Phone:502-681-8332
Mailing Address - Fax:
Practice Address - Street 1:9842 N KENDALL DR APT A206
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1889
Practice Address - Country:US
Practice Address - Phone:502-681-8332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI3868235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist