Individual provider Active NPI

Robin Eva Lopez, PA-C

  • Physician Assistant
  • Florida City, FL
National Provider Identifier
1285613935
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101069 Issued in FL
Practice address
19300 SW 376TH St
Florida City, FL 33034-6300
Phone
(305) 246-4607
Fax
(305) 248-4715
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101069 FL Primary

Addresses

Primary practice location

19300 SW 376TH St
Florida City, FL 33034-6300

Mailing address

809 Hamilton Dr Apt G
Homestead, FL 33034-2669
Phone (305) 252-4825

Other identifiers 1

IdentifierTypeStateIssuer
290674100MedicaidFL

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
I20100507000335 FL Practitioner - Physician Assistant 8022146372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc CurrentSince Nov 10, 1999 Accepting new patients
Community Health of South Florida, Inc CurrentSince Nov 10, 1999 Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

19300 SW 376th St
Homestead, FL 33034
Phone (305) 246-4607

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1285613935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 HAMILTON DR APT G",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330342669",
            "telephone_number": "305-252-4825",
            "fax_number": "305-252-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 SW 376TH ST",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330346300",
            "telephone_number": "305-246-4607",
            "fax_number": "305-248-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ROBIN",
        "middle_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290674100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

Verify at the official NPI Registry.