Provider Demographics
NPI:1790279669
Name:COTE LOPEZ, ROLANDO (NP-C)
Entity Type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:COTE LOPEZ
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 FAIRWAY DR STE 450
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4200
Mailing Address - Country:US
Mailing Address - Phone:561-799-3552
Mailing Address - Fax:561-799-3527
Practice Address - Street 1:7111 FAIRWAY DR STE 450
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418
Practice Address - Country:US
Practice Address - Phone:561-799-3552
Practice Address - Fax:561-799-3527
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9229028363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily