Individual provider Active NPI

Hector Manuel Maldonado Lopez, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1366494957
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77344 Issued in FL
Practice address
11501 SW 40TH St
Miami, FL 33165-3313
Phone
(305) 646-3716
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME77344 FL Primary

Addresses

Primary practice location

11501 SW 40TH St
Miami, FL 33165-3313

Mailing address

11501 SW 40TH St
Miami, FL 33165-3313
Phone (305) 646-3716

Other names 1

  • Hector M Maldonado Lopez Other name

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

State licenses

LicenseStateTypeSpecialty
ME77344FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors ER Services, Inc. Past Accepting new patients
New Horizon Medical Center Inc. Internal Medicine PastSince Mar 4, 2005 Accepting new patients
Elite Medical Treatment Past Accepting new patients
Malberta Medical Center, Inc Past Accepting new patients
Med Professional Services Inc Past Accepting new patients

Organizations & group practices 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1366494957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653313",
            "telephone_number": "305-646-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653313",
            "telephone_number": "305-646-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO LOPEZ",
        "first_name": "HECTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HECTOR",
            "last_name": "MALDONADO LOPEZ",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.