Agustin Rodolfo Lopez Leiros, RPH is a
Nurse Practitioner - Family based in Cape Coral, Florida. Agustin Rodolfo Lopez Leiros is licensed to practice in Florida (license number APRN11023966) and his current practice location is
1631 Del Prado Blvd S Ste 300, Cape Coral, Florida. He can be reached at his office (for appointments etc.) via phone at
(786) 577-2018.
NPI number for Agustin Rodolfo Lopez Leiros is 1235574484 and his current mailing address is 4102 Nw 39th St, Cape Coral, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235574484.
Healthcare Provider's Profile
| Full Name | Agustin Rodolfo Lopez Leiros |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1631 Del Prado Blvd S Ste 300, Cape Coral, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235574484
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 06/19/2026
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 |
| 183500000X | Pharmacist | PS47176 (Florida) | Secondary |
| 163W00000X | Registered Nurse | RN9574671 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11023966 (Florida) | Primary |
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 4102 Nw 39th St, Cape Coral, FL 33993-7853 Ph: (786) 577-2018 | Agustin Rodolfo Lopez Leiros, RPH 1631 Del Prado Blvd S Ste 300, Cape Coral, FL 33990-6740 Ph: (786) 577-2018 |
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