Individual provider Active NPI

Diliervys R Lopez Mesa, MD, APRN, RN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1275300014
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025695 Issued in FL
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

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126001016 FL Practitioner - Nurse Practitioner 0941735088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11025695FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Mercedes, LLC CurrentSince Nov 25, 2024 Accepting new patients
Clinica Las Mercedes, LLC Current Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Nov 25, 2024 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.

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

Verify at the official NPI Registry.