Active NPI
Raymond A Lopez, M.D.
- Obstetrics & Gynecology Physician
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME130127
- Practice address
- 4064 SW 69TH Ave
Miramar, FL 33023-6688 - Phone
- (542) 398-8609
- Fax
- (954) 239-8847
- NPI assigned
- Oct 3, 2006
- Last updated
- Sep 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME130127 | FL | |
| Adult Medicine Physician | 207QA0505X | ME130127 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 18239 | AL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME130127 | FL | Primary |
Addresses
Primary practice location
4064 SW 69TH Ave
Miramar, FL 33023-6688
Mailing address
16900 North Bay Rd 2217
Sunny Isles, FL 33160-6274
Phone (256) 508-9002
Other practice location 1
3809 Sullivan St
Suite 6-A
Madison, AL 35758-2372
Phone (256) 461-4104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Ponce School of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4064 SW 69TH Ave
Miramar, FL 33023-6688
Phone (954) 239-8847
5038 Coronado Pkwy
Naples, FL 34116-6950
Phone (239) 499-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retreat Medical Center LLC | Multi-Specialty | Current | Accepting new patients |
| North Alabama Obstetrics and Gynecology | Multi-Specialty | Current | Accepting new patients |
| Somos Vida Medical Center, LLC | Multi-Specialty | Current | Accepting new patients |
| Ultrahealth, L.L.C. | Multi-Specialty | Current | Accepting new patients |
| Roy Sleep Medicine Inc | Multi-Specialty | Past | Accepting new patients |
Locations
3809 Sullivan St
Ste 6A
Madison, AL 35758
Phone (256) 213-1800
4910 E 2nd Ave
Hialeah, FL 33013
Phone (305) 400-9454
228 Plaza Dr
Ste D
Lehigh Acres, FL 33936
Phone (239) 491-8204
1818 W Flagler St
Miami, FL 33135
Phone (754) 208-9566
1818 W Flagler St
Ste 300
Miami, FL 33135
Phone (786) 755-2891
4064 SW 69th Ave
Miramar, FL 33023
Phone (954) 239-8847
5038 Coronado Pkwy
Naples, FL 34116
Phone (239) 234-6835
6400 Davis Blvd
Ste 103
Naples, FL 34104
Phone (239) 304-0054
2003 McCoy Rd
Ste C
Orlando, FL 32809
Phone (239) 499-0900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CICECD/Endpoint/CICECD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Obstetrics & Gynecology Physician
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Multi-Specialty
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Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1083708747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16900 NORTH BAY RD 2217",
"city": "SUNNY ISLES",
"state": "FL",
"postal_code": "331606274",
"telephone_number": "256-508-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4064 SW 69TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330236688",
"telephone_number": "542-398-8609",
"fax_number": "954-239-8847"
}
],
"practiceLocations": [
{
"address_1": "3809 Sullivan St",
"address_2": "Suite 6-A",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357582372",
"country_code": "US",
"telephone_number": "256-461-4104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "RAYMOND",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME130127",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME130127",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "18239",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME130127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.