Lopez Leiros, Agustin Rodolfo

Lopez Leiros, Agustin Rodolfo is an sole proprietor health care provider with primary practice located at 1631 Del Prado Blvd S Ste 300 , Cape Coral FL 33990-6740. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Lopez Leiros, Agustin Rodolfo can be contacted via phone (786) 577-2018.

Contact Information

Primary practice address
1631 Del Prado Blvd S Ste 300 Cape Coral FL 33990-6740
Fax: (786) 957-5158
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS47176 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN9574671 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11023966 Florida

Profile Details

NPI number 1235574484
LBN Legal business name Lopez Leiros, Agustin Rodolfo
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2013
Last updated Jun 19th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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