Active NPI
Lucia Amarilys Lopez, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1083053086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109231
- Practice address
- 7900 NW 27TH Ave
Suite E-12
Miami, FL 33147-4909 - Phone
- (786) 318-2337
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109231 | FL | Primary |
| Physician Assistant | 363A00000X | 0010-04316 | NC |
Addresses
Primary practice location
7900 NW 27TH Ave
Suite E-12
Miami, FL 33147-4909
Mailing address
42551 Atlas Dr
Punta Gorda, FL 33982-2579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109231 | FL | MD | Physician Assistant |
| 0010-04316 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1083053086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42551 ATLAS DR",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339822579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 NW 27TH AVE",
"address_2": "SUITE E-12",
"city": "MIAMI",
"state": "FL",
"postal_code": "331474909",
"telephone_number": "786-318-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "LUCIA",
"middle_name": "AMARILYS",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109231",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.