Active NPI
Carlos Alberto Lopez Jr., RN
- Infusion Therapy Registered Nurse
- Lutz, FL
National Provider Identifier
1104504232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- 224886
- Practice address
- 21610 Southwood Dr
Lutz, FL 33549-4126 - Phone
- (813) 294-5546
- Fax
- (813) 354-3408
- NPI assigned
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | 224886 | TN | Primary |
Addresses
Primary practice location
21610 Southwood Dr
Lutz, FL 33549-4126
Mailing address
6421 N Florida Ave # D1789
Tampa, FL 33604-6007
Phone (813) 294-5546
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
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accurate Aims | Current | Accepting new patients |
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.
-
- Infusion Therapy Clinic/Center
- Lutz, FL
- NPI 1750165031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1104504232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6421 N FLORIDA AVE # D1789",
"city": "TAMPA",
"state": "FL",
"postal_code": "336046007",
"telephone_number": "813-294-5546",
"fax_number": "813-354-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21610 SOUTHWOOD DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494126",
"telephone_number": "813-294-5546",
"fax_number": "813-354-3408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "TN",
"license": "224886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.