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

Odalis Lopez Gonzalez

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295604973

Odalis Lopez Gonzalez is a Psychiatric/Mental Health Nurse Practitioner in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

16801 SW 109th CT 16801 SW 109 Ct
Miami, FL 33157-4054
Phone: (786) 227-7649
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11043298 (FL)

Record details

NPI number1295604973
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2025
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025

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