Celestino Lopez Omd LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

AP355 Issued in FL

Legal business name

CELESTINO LOPEZ OMD LLC

Practice address

900 W 49TH St
Suite 319
Hialeah, FL 33012-3402

Phone

(786) 284-0117

Fax

(786) 558-9320

NPI assigned

Jun 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Celestino Lopez, OMD

Title

President

Phone

(786) 284-0117

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1083094262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 319",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "786-284-0117",
            "fax_number": "786-558-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST",
            "address_2": "SUITE 319",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123402",
            "telephone_number": "786-284-0117",
            "fax_number": "786-558-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTINO LOPEZ OMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CELESTINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-284-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OMD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "AP355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gibel Soraya Cedeno, M.D.
• Idalmys Cedeno, RBT
• Yaima Cedeno
• Diana Elena Cedron Moya
• Heather Ann Celentano, O.D.
• Celestino P Castellon MD PA
• Cellmax Medical Group, Corp
• Carla Maria Celorrio Ferreiro
• Ciro Alejandro Centeno Perez
• Center Treatment of Rehabilitation Inc

• Pain Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pain Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.