Individual provider Active NPI

Luis Enrique Lopez Lopez, APRN

  • Primary Care Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1124736459
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11022872 Issued in FL
Practice address
8897 NW 177TH Ter
Hialeah, FL 33018-6623
Phone
(786) 371-3078
NPI assigned
Nov 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11022872 FL Primary

Addresses

Primary practice location

8897 NW 177TH Ter
Hialeah, FL 33018-6623

Mailing address

8897 NW 177TH Ter
Hialeah, FL 33018-6623
Phone (786) 371-3078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209004337 FL Practitioner - Nurse Practitioner 1355835166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curitiva Medical Centers CorpGroup PAC ID 2264511195, 2 clinicians

Practice addresses (Care Compare)

10651 N Kendall Dr
Suite 207
Miami, FL 33176-1545
Phone (305) 275-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11022872FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curitiva Medical Centers Corp CurrentSince Oct 4, 2025 Accepting new patients
Sunset Cardiology Centers Inc PastSince Oct 4, 2025 Accepting new patients

Locations

10651 SW 88th St
Ste 207
Miami, FL 33176
Phone (305) 275-7373

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1124736459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8897 NW 177TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186623",
            "telephone_number": "786-371-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8897 NW 177TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186623",
            "telephone_number": "786-371-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ LOPEZ",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11022872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.