Id Professionals of South Florida LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

ME75291 Issued in FL

Legal business name

ID PROFESSIONALS OF SOUTH FLORIDA LLC

Practice address

1790 W 49TH St
Suite 400-9
Hialeah, FL 33012-2992

Phone

(305) 698-5997

Fax

(305) 698-5998

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mario R. Lopez, M.D.NPI 1952355968

Title

President

Phone

(954) 495-5102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mario R. Lopez, MD

  • Infectious Disease Physician
  • Carolina, PR
  • NPI 1952355968
  NPD (past) Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1174560619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371082",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331371082",
            "telephone_number": "305-698-5997",
            "fax_number": "305-698-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 W 49TH ST",
            "address_2": "SUITE 400-9",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122992",
            "telephone_number": "305-698-5997",
            "fax_number": "305-698-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID PROFESSIONALS OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-495-5102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME75291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Ibrahim, MD
• Amin Ibrahim
• Icare Adult Day Care Inc.
• Icom Hialeah LLC
• Ics Radiology, Inc.
• Idaca LLC
• Idalmes Perez D.D.S P.a
• Idalmis Alvarez Gomez NP LLC
• Ideal Adult Daycare Center, Inc
• Ideal Farmacy Inc

• Infectious Disease Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Infectious Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.