Search › Florida › 106S00000X

Gianny Pacheco Lopez

NPI 1174175020 · on the registry since 2019 · sole proprietor

Practice

Address
15412 Sw 183rd Ter
Miami, FL 33187
Phone
(305) 720-4675
Clinicians at this address
2

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
163WG0000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida