Active NPI
Marcos Antonio Lopez, ARNP
- Pediatric Nurse Practitioner
- Miami, FL
National Provider Identifier
1114370350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9283150
- Practice address
- 1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173 - Phone
- (305) 635-7710
- Fax
- (786) 621-7816
- NPI assigned
- Jul 22, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9283150 | FL | Primary |
Addresses
Primary practice location
1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173
Mailing address
1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173
Phone (305) 635-7710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021904100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marcos.lopez@cmg.eclinicaldirectplus.com | Other |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9283150 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114370350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 NW 27TH AVE STE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252173",
"telephone_number": "305-635-7710",
"fax_number": "786-621-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 NW 27TH AVE STE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252173",
"telephone_number": "305-635-7710",
"fax_number": "786-621-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MARCOS",
"middle_name": "ANTONIO",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-22",
"last_updated": "2022-07-21",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9283150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021904100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marcos.lopez@cmg.eclinicaldirectplus.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "health information has changed",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "3520 W 18th Ave Ste 115",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330124634",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.