Gabriela Lopez Botero, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109333 Issued in FL

Practice address

5355 Lyons Rd
Coconut Creek, FL 33073-2825

Phone

(954) 570-9595

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Sex

Female

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare Associates of Palm Beach LLCGroup PAC ID 7719220128, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gabriela.lopezbotero@afp.directbygreenway.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EHIHBD/Endpoint/EHIHBD
• FHIR API: https://fhir4.healow.com/fhir/r4/HAEGBA

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.

• Healthcare Associates of Palm Beach LLC

  • Family Medicine Physician
  • Boynton Beach, FL
  • NPI 1356803241
  Medicare reassignment Care Compare group
• Complete Local Specialty Care, Inc

  dba CLSC

  • Family Medicine Physician
  • Coconut Creek, FL
  • NPI 1538155262
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1356702930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 LANDINGS WAY",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333216031",
            "telephone_number": "954-369-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-570-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BOTERO",
        "first_name": "GABRIELA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Liu, PHARM.D.
• Live Wellness, PLLC
• Livingwell Comprehensive Medical & Psychiatric Care
• Christine M Logar, M.D.
• Cynthia Lomasky, PHARM. D.
• Jaybelle Annie Lora
• Gina Lowy, PA
• Caitlyn Alexia Lubo, OD
• Karine Lucien, PHARMD
• Martin P Ludwig

• Physician Assistant in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.