Organization Active NPI

Juan a Lopetegui MD PA

  • Pulmonary Disease Physician
  • Palmetto Bay, FL
National Provider Identifier
1124201538
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 87214 Issued in FL
Legal business name
JUAN A LOPETEGUI MD PA
Practice address
8750 SW 144TH St
Suite 208
Palmetto Bay, FL 33176-7296
Phone
(305) 485-4043
Fax
(305) 485-3591
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Juan A Lopetegui, M.D.
Title
President/Secretary
Phone
(305) 485-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME 87214 FL Primary

Addresses

Primary practice location

8750 SW 144TH St
Suite 208
Palmetto Bay, FL 33176-7296

Mailing address

15680 N Kendall Dr
Suite 201
Miami, FL 33196-1159
Phone (305) 436-9933

Other identifiers 1

IdentifierTypeStateIssuer
267299500MedicaidFL

National Provider Directory

National Provider Directory

Locations

8750 SW 144th St
Ste 208
Palmetto Bay, FL 33176
Phone (305) 259-6166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1124201538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15680 N KENDALL DR",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961159",
            "telephone_number": "305-436-9933",
            "fax_number": "305-500-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE 208",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-485-4043",
            "fax_number": "305-485-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A LOPETEGUI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "LOPETEGUI",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "305-485-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 87214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267299500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.