Provider Demographics
NPI:1366778409
Name:LOPEZ-TRIGO, CRISTINA ELENA (SLP-CF)
Entity type:Individual
Prefix:MISS
First Name:CRISTINA
Middle Name:ELENA
Last Name:LOPEZ-TRIGO
Suffix:
Gender:F
Credentials:SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10070 NW 51ST LN
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3411
Mailing Address - Country:US
Mailing Address - Phone:786-897-0621
Mailing Address - Fax:
Practice Address - Street 1:10070 NW 51ST LN
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3411
Practice Address - Country:US
Practice Address - Phone:786-897-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-25
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ4924235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist