Individual provider Active NPI

Lucy Rocio Gallegos Lopez, M.D.

  • Family Medicine Physician
  • Doral, FL
National Provider Identifier
1003104027
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME121337 Issued in FL
Practice address
10725 NW 58TH St
Doral, FL 33178-2801
Phone
(305) 629-9644
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT200219 PA
Family Medicine Physician 207Q00000X ME121337 FL Primary

Addresses

Primary practice location

10725 NW 58TH St
Doral, FL 33178-2801

Mailing address

1701 NE Miami Gardens Dr Apt 117
Miami, FL 33179-5342
Phone (973) 666-5487

Other names 1

  • Lucy Rocio Gallegos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203000798 FL Practitioner - Family Practice 6800118852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Sanitas I, LLCGroup PAC ID 9537447107, 124 clinicians

Practice addresses (Care Compare)

18610 NW 87TH Ave
Suite 101
Hialeah, FL 33015-3519
Phone (844) 667-4827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME121337FLMDFamily Medicine Physician
MT200219PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC Family Medicine CurrentSince Apr 29, 2018 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

18610 NW 87th Ave
Ste 101
Miami Gardens, FL 33015
Phone (305) 829-5000

Interoperability endpoints

  • Direct secure messaging: lucy.gallegoslopez@wwmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBGBDA/Endpoint/HBGBDA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1003104027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE MIAMI GARDENS DR APT 117",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795342",
            "telephone_number": "973-666-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782801",
            "telephone_number": "305-629-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS LOPEZ",
        "first_name": "LUCY",
        "middle_name": "ROCIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT200219",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCY",
            "last_name": "GALLEGOS",
            "middle_name": "ROCIO",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.