Organization Active NPI

Dr Vidal N Lopez MD PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1396272043
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME14047 Issued in FL
Legal business name
DR VIDAL N LOPEZ MD PA
Practice address
2682 SW 87TH Ave
Miami, FL 33165-2000
Phone
(305) 480-5680
Fax
(305) 480-5702
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Dr. Vidal N Lopez, MD
Title
Psychiatrist
Phone
(305) 480-5680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4844 FL
Psychiatry Physician 2084P0800X ME14047 FL Primary

Addresses

Primary practice location

2682 SW 87TH Ave
Miami, FL 33165-2000

Mailing address

2682 SW 87TH Ave
Miami, FL 33165-2000
Phone (305) 480-5680

Other identifiers 1

IdentifierTypeStateIssuer
038015600MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1396272043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652000",
            "telephone_number": "305-480-5680",
            "fax_number": "305-480-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652000",
            "telephone_number": "305-480-5680",
            "fax_number": "305-480-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VIDAL N LOPEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "VIDAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "305-480-5680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4844",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME14047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038015600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2017; 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.