Lopez Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LOPEZ MENTAL HEALTH LLC

Practice address

12610 Henderson Rd Ste 4, Ste 1003
Tampa, FL 33625-6548

Phone

(813) 279-1364

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Edgar O Lopez de Castro, MD

Title

Owner

Phone

(813) 279-1364

Specialties & licenses 1

Addresses

Other names 1

• MindFaro Health Doing business as

Locations

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1295501278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 HENDERSON RD STE 4, STE 1003",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336256548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 HENDERSON RD STE 4, STE 1003",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336256548",
            "telephone_number": "813-279-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DE CASTRO",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-279-1364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindFaro Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yisleidys Lopez Herrera
• Berenice Lopez Leal, MD
• Pablo Joel Lopez Lopez, MD
• Liuvitza Lopez Martin
• Orisel Lopez Martinez, DMD
• Javier Andres Lopez Moncayo, MD
• Geidy De Jesus Lopez Parra, RBT
• Ana Vivian Lopez Perez
• Dayana Lopez Perez, RBT
• Daymi Lopez Perez

• Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.