Agustin Rodolfo Lopez Leiros, RPH is a
Pharmacist based in Hialeah, Florida. Agustin Rodolfo Lopez Leiros is licensed to practice in Florida (license number PS47176) and his current practice location is
955 E 25th St Apt 456, Hialeah, Florida. He can be reached at his office (for appointments etc.) via phone at
(786) 218-5814.
NPI number for Agustin Rodolfo Lopez Leiros is 1235574484 and his current mailing address is 955 E 25th St Apt 456, Hialeah, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235574484.
Provider's Profile
| Full Name | Agustin Rodolfo Lopez Leiros |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 955 E 25th St Apt 456, Hialeah, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235574484
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 10/15/2025
Medical Identifiers
Medical identifiers for Agustin Rodolfo Lopez Leiros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235574484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11023966 (Florida) | Secondary |
| 183500000X | Pharmacist | PS47176 (Florida) | Primary |
| 163W00000X | Registered Nurse | RN9574671 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agustin Rodolfo Lopez Leiros is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Agustin Rodolfo Lopez Leiros, RPH
955 E 25th St Apt 456,
Hialeah, FL 33013-3473
Ph: (786) 218-5814 | Agustin Rodolfo Lopez Leiros, RPH
955 E 25th St Apt 456,
Hialeah, FL 33013-3473
Ph: (786) 218-5814 |
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