Provider Demographics
NPI:1801272505
Name:LOPEZ RODRIGUEZ, CLAUDIA MARIA (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MARIA
Last Name:LOPEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9406 BALM RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5116
Mailing Address - Country:US
Mailing Address - Phone:813-236-9310
Mailing Address - Fax:
Practice Address - Street 1:9406 BALM RIVERVIEW RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5116
Practice Address - Country:US
Practice Address - Phone:813-236-9310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136782208000000X
NY294535208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics