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

Omar Balboa Lopez, CSA

Individual provider Surgical Technologist · NPI 1467769505

Omar Balboa Lopez, CSA is a Surgical Technologist in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

3661 S Miami Ave Ste 708
Miami, FL 33133-4236
Phone: (305) 858-9879
Fax: (305) 856-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 10176 (FL)

Record details

NPI number1467769505
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedSeptember 10, 2010
Last updated in NPPESSeptember 10, 2010
Mailing address3661 S Miami Ave, Suite 708, Miami, FL 33133-4236

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