Individual provider Active NPI

Leonardo Vicente Lopez, M.D.

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1215991914
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21513 Issued in FL
Practice address
2601 SW 37TH Ave
Suite 701
Miami, FL 33133-2700
Phone
(305) 446-7472
Fax
(305) 446-6818
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21513 FL Primary

Addresses

Primary practice location

2601 SW 37TH Ave
Suite 701
Miami, FL 33133-2700

Mailing address

2601 SW 37TH Ave
Suite 701
Miami, FL 33133-2700
Phone (305) 446-7472

Other identifiers 1

IdentifierTypeStateIssuer
058695100MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805001171 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496736423 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21513FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Cardiovascular Disease CurrentSince Oct 1, 2011 Accepting new patients
Mercy Ekg & Echo Readers, Inc Cardiovascular Disease CurrentSince Apr 1, 1999 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Oct 1, 2011 Accepting new patients
Coral Gables Cardiology Inc Cardiovascular Disease CurrentSince Feb 1, 1974 Accepting new patients
Mercy Medical Development Inc Past Accepting new patients

Locations

9960 Central Park Blvd N
Ste 400
Boca Raton, FL 33428
Phone (561) 295-9100

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

2601 SW 37th Ave
Ste 701
Miami, FL 33133
Phone (305) 441-7999

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Organizations & group practices 5

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1215991914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE",
            "address_2": "SUITE 701",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-446-7472",
            "fax_number": "305-446-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE",
            "address_2": "SUITE 701",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332700",
            "telephone_number": "305-446-7472",
            "fax_number": "305-446-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LEONARDO",
        "middle_name": "VICENTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "21513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058695100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.