Mildred Lopez Garrido, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108314 Issued in FL

Practice address

6107 Memorial Hwy Ste a
Tampa, FL 33615-4564

Phone

(813) 514-2328

Fax

(813) 514-2485

NPI assigned

Oct 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Town N Country Medical Care LLC

  • Primary Care Clinic/Center
  • Tampa, FL
  • NPI 1356926240
  Medicare reassignment
• Helping Hands Health Center LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1689245482
  NPD

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1134523525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 FLOWERFIELD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151825",
            "telephone_number": "786-454-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 MEMORIAL HWY STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154564",
            "telephone_number": "813-514-2328",
            "fax_number": "813-514-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GARRIDO",
        "first_name": "MILDRED",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Lopez Delgado
• Diana De la Caridad Lopez Eguiguren
• Yuneisy Lopez Fajardo
• Lisandra Lopez Fernandez
• Ivelisse Lopez Garcia
• Yisleidys Lopez Herrera
• Berenice Lopez Leal, MD
• Pablo Joel Lopez Lopez, MD
• Liuvitza Lopez Martin
• Orisel Lopez Martinez, DMD

• Medical Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.