Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Lissette Mejia Lopez, SA-C

Individual provider Surgical Assistant · NPI 1225677164

Jacqueline Lissette Mejia Lopez, SA-C is a Surgical Assistant in Hialeah, Florida. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019

Practice location Address checks out

2925 W 80th St Apt 224
Hialeah, FL 33018-3835
Phone: (786) 450-9236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-486 (WI)

Record details

NPI number1225677164
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA-C
Sole proprietorYes
NPI enumeratedDecember 23, 2019
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019

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