Omar Rosa Lopez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11035112 Issued in FL

Practice address

714 W Dr Martin Luther King Jr Blvd Ste a
Tampa, FL 33603-3104

Phone

(727) 822-5363

Fax

(727) 895-3313

NPI assigned

Aug 26, 2024

Last updated

Oct 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Family

  Medicare reassignment NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Cool Kidz Pediatrics LLC

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1710468848
  NPD (past)
• Cool Kidz Pediatrics LLC

  • Pediatrics Physician
  • Brandon, FL
  • NPI 1891423976
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1285468082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 SW 117TH AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834809",
            "telephone_number": "813-751-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W DR MARTIN LUTHER KING JR BLVD STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033104",
            "telephone_number": "727-822-5363",
            "fax_number": "727-895-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7747 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154715",
            "country_code": "US",
            "telephone_number": "813-603-4289",
            "fax_number": "888-393-0869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11117 7th Avenue North",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "country_code": "US",
            "telephone_number": "727-822-5363",
            "fax_number": "727-895-3313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Parsons Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104517",
            "country_code": "US",
            "telephone_number": "813-655-5807",
            "fax_number": "813-655-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA LOPEZ",
        "first_name": "OMAR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rorer
• Alexus Roriex, REGISTERED NURSE
• Keven Omar Rosa Castro
• Rosa Chiropractic & Physical Therapy, Inc
• Rosa Chiropractic and Physical Therapy, Inc.
• Clarines Rosa-de Jesus, M.D.
• Jose Antonio Rosa-Sierra, M.D.
• Angelique Marie Rosa
• Brianna Lynn Rosa
• Carmen Delia Rosa, B.S.

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.

Verify at the official NPI Registry.