Active NPI
Rossana Lopez MD PA
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1013262377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME64156
- Legal business name
- ROSSANA LOPEZ MD PA
- Practice address
- 777 E 25TH St
Suite 516
Hialeah, FL 33013-3825 - Phone
- (305) 836-1696
- Fax
- (305) 836-1698
- NPI assigned
- Jul 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rossana Lopez, MD
- Title
- Owner
- Phone
- (305) 836-1696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME64156 | FL | Primary |
| Psychiatry Physician | 2084P0800X | ME64156 | FL |
Addresses
Primary practice location
777 E 25TH St
Suite 516
Hialeah, FL 33013-3825
Mailing address
3511 SW 100TH Ave
Miami, FL 33165-3846
Phone (305) 836-1696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374037400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
600 E 25th St
Ste A
Hialeah, FL 33013
Phone (305) 836-1696
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1326159385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343001600000",
"number": "1013262377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 SW 100TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653846",
"telephone_number": "305-836-1696",
"fax_number": "305-647-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 25TH ST",
"address_2": "SUITE 516",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133825",
"telephone_number": "305-836-1696",
"fax_number": "305-836-1698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSSANA LOPEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ROSSANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-836-1696",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME64156",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME64156",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "374037400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.