Individual provider Active NPI

Marilyn Lopez Gonzalez, NP

  • Family Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1053821934
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9311935 Issued in FL
Practice address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone
(305) 481-9776
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9311935 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Miami Beach, FL 33140-2948

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

2121 NW 28th St
Miami, FL 33142-5903
Phone (786) 210-0977

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180306000907 FL Practitioner - Nurse Practitioner 8729349873 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1120 NW 14TH St
Miami, FL 33136-2107
Phone (305) 689-8648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9311935FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jan 1, 2023 Accepting new patients
MG H2 LLC CurrentSince Sep 7, 2024 Accepting new patients
University of Miami CurrentSince Jan 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
First Docs PC CurrentSince Jan 14, 2025 Accepting new patients
Collins Physician Services, LLC CurrentSince Sep 2, 2018 Accepting new patients
QMC LLC Past Accepting new patients
Primary Care Physicians Group Past Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1053821934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-481-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 NW 28th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331425903",
            "country_code": "US",
            "telephone_number": "786-210-0977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ GONZALEZ",
        "first_name": "MARILYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9311935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.