Active NPI
Diliervys R Lopez Mesa, MD, APRN, RN
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1275300014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11025695
- Practice address
- 450 SW 136TH Ave
Pembroke Pines, FL 33027-6073 - Phone
- (954) 239-4818
- NPI assigned
- Dec 11, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11025695 | FL | Primary |
Addresses
Primary practice location
450 SW 136TH Ave
Pembroke Pines, FL 33027-6073
Mailing address
6720 Azalea Dr
Miramar, FL 33023-4859
Phone (786) 828-0334
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11025695 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients |
Locations
1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776
450 SW 136th Ave
Pembroke Pines, FL 33027
Phone (954) 239-4818
6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166
Networks
- HealthSun Health Plans Network
Organizations & group practices 3
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.
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- Geriatric Medicine (Internal Medicine) Physician
- Miami, FL
- NPI 1326090960
-
- Geriatric Medicine (Internal Medicine) Physician
- Miami, FL
- NPI 1467930941
-
- Multi-Specialty Clinic/Center
- Tamarac, FL
- NPI 1518673565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1275300014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 AZALEA DR",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330234859",
"telephone_number": "786-828-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SW 136TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276073",
"telephone_number": "954-239-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ MESA",
"first_name": "DILIERVYS",
"middle_name": "R",
"credential": "MD, APRN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-11",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11025695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.