Organization Active NPI

Reynaldo Lopez MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1255771408
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
REYNALDO LOPEZ MD PA
Practice address
15836 SW 61St St
Miami, FL 33193-3692
Phone
(787) 240-4737
NPI assigned
Jul 2, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Reynaldo Lopez, MD
Title
Owner
Phone
(787) 240-4737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X FL Primary

Addresses

Primary practice location

15836 SW 61St St
Miami, FL 33193-3692

Mailing address

15836 SW 61St St
Miami, FL 33193-3692
Phone (787) 240-4737

Other identifiers 1

IdentifierTypeStateIssuer
0919CMEDICOOtherFLCOMMERCIAL PLANS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1255771408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15836 SW 61ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933692",
            "telephone_number": "787-240-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15836 SW 61ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933692",
            "telephone_number": "787-240-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO LOPEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-240-4737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL PLANS",
            "identifier": "0919CMEDICO",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.