Active NPI
Juan Albert Lopez, MD
- Urology Physician
- Orlando, FL
National Provider Identifier
1275561219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME59006
- Practice address
- 1616 Woodward St
Orlando, FL 32803-4142 - Phone
- (407) 896-1181
- Fax
- (407) 898-1623
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME59006 | FL | Primary |
Addresses
Primary practice location
1616 Woodward St
Orlando, FL 32803-4142
Mailing address
1616 Woodward St
Orlando, FL 32803-4142
Phone (407) 896-1181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340004768 | Other | RAILROAD MEDICARE | |
| 053348300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1275561219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 WOODWARD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034142",
"telephone_number": "407-896-1181",
"fax_number": "407-898-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 WOODWARD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034142",
"telephone_number": "407-896-1181",
"fax_number": "407-898-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JUAN",
"middle_name": "ALBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME59006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340004768",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053348300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.