Individual provider Active NPI

Edgardo A Lopez, ARNP

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1306337068
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9333288 Issued in FL
Practice address
1150 N 35TH Ave Ste 670
Hollywood, FL 33021-5435
Phone
(954) 267-1700
Fax
(954) 276-0623
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9333288 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 670
Hollywood, FL 33021-5435

Mailing address

2900 Corporate Way # D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

603 N Flamingo Rd Ste 151
Pembroke Pines, FL 33028-1021
Phone (954) 265-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elopez229348@mhsdirect.net Direct

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
I20200513000286 FL Practitioner - Nurse Practitioner 7012348774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Hollywood, FL 33021-5431

1150 N 35TH Ave
Suite 670
Hollywood, FL 33021-5435
Phone (954) 265-1700

603 N Flamingo Rd
Suite 151
Pembroke Pines, FL 33028-1021
Phone (954) 265-2750

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9333288FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Dec 27, 2020 Accepting new patients
South Broward Hospital District CurrentSince Nov 1, 2019 Accepting new patients
South Broward Hospital District CurrentSince Nov 1, 2019 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

1150 N 35th Ave
Ste 670
Hollywood, FL 33021
Phone (954) 265-1700

1150 N 35th Ave
Ste 540
Hollywood, FL 33021
Phone (954) 265-2750

1150 N 35th Ave
Ste 525
Hollywood, FL 33021
Phone (954) 265-1260

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

603 N Flamingo Rd
Ste 151
Pembroke Pines, FL 33028

Interoperability endpoints

  • Direct secure messaging: elopez229348@mhsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1306337068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY # D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 670",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215435",
            "telephone_number": "954-267-1700",
            "fax_number": "954-276-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 N Flamingo Rd Ste 151",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281021",
            "country_code": "US",
            "telephone_number": "954-265-1700",
            "fax_number": "954-276-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EDGARDO",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9333288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elopez229348@mhsdirect.net",
            "affiliation": "N",
            "endpointDescription": "MHSDSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 N 35th Ave Ste 670",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.