Active NPI
Manuel Lopez Diaz, MD
- Emergency Medicine Physician
- Palmetto Bay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0083364
- Practice address
- 9333 SW 152ND St
Emergency Department
Palmetto Bay, FL 33157-1778 - Phone
- (305) 256-5001
- NPI assigned
- Jan 17, 2006
- Last updated
- May 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0083364 | FL | Primary |
Addresses
Primary practice location
9333 SW 152ND St
Emergency Department
Palmetto Bay, FL 33157-1778
Mailing address
3103 SW 156TH PL
Miami, FL 33185-4920
Phone (305) 226-7431
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00414260 | Other | RR MCR | |
| 264971300 | Medicaid | FL | |
| 28010 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0083364 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| South Miami Criticare Inc. | Emergency Medicine | Current | Accepting new patients |
| Therapy Medical Rehabilitation Corp | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
| Belle Glade Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| City Circle ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Doctors ER Services, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1201 S Main St
Belle Glade, FL 33430
Phone (561) 996-6571
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
1840 W 49th St
Ste 404
Hialeah, FL 33012
Phone (305) 823-1959
1840 W 49th St
Ste 607
Hialeah, FL 33012
Phone (305) 527-7976
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
5901 SW 74th St
Ste 202
South Miami, FL 33143
Phone (305) 665-2059
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
Interoperability endpoints
- mlopez@yourcarecommunity.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- South Miami, FL
- NPI 1306878210
-
dba United Wellcare Center &Therapy Medical Rehabilitation
- Community/Behavioral Health Agency
- Hialeah, FL
- NPI 1831435767
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Belle Glade, FL
- NPI 1083631774
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1144279357
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1346296605
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Lehigh Acres, FL
- NPI 1619926235
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1255311338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 SW 156TH PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331854920",
"telephone_number": "305-226-7431",
"fax_number": "888-959-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 SW 152ND ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331571778",
"telephone_number": "305-256-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ DIAZ",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0083364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00414260",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264971300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "28010",
"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 May 1, 2017; 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.