Individual ProviderDavid Leonardo LopezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9710 E Indigo St Ste 303, Miami, FL 33157-5613(305) 255-3703PECOS EnrollmentBased on the most recent information from CMS, provider David Leonardo Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659078780Provider TypeIndividualFull NameLopez, David LeonardoCredentialAPRNGenderMaleSole ProprietorYesEnumeration Date2/9/2023Last Updated2/9/2023Contact InformationPractice LocationPractice Address9710 E Indigo St Ste 303, Miami, FL 33157-5613Phone(305) 255-3703Fax(305) 255-8447Mailing LocationMailing Address9710 E Indigo St Ste 303, Miami, FL 33157-5613Phone(305) 255-3703Fax(305) 255-8447Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11024465Florida