Individual provider Active NPI

Yailin Martin Lopez, APRN

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1407556327
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021832 Issued in FL
Practice address
12792 SW 45TH Dr
Miramar, FL 33027-6046
Phone
(786) 263-1198
Fax
(786) 590-2124
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11021832 FL Primary

Addresses

Primary practice location

12792 SW 45TH Dr
Miramar, FL 33027-6046

Mailing address

12792 SW 45TH Dr
Miramar, FL 33027-6046
Phone (786) 263-1198

Other practice location 1

14645 NW 77th Ave Ste 106
Miami Lakes, FL 33014-2569
Phone (786) 263-1198

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
I20251204001265 FL Practitioner - Nurse Practitioner 4789177015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12792 SW 45TH Dr
Miramar, FL 33027-6046

5801 NW 151St St
Suite 207
Miami Lakes, FL 33014-2476

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11021832FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Class Medical Services LLC CurrentSince Nov 30, 2021 Accepting new patients

Locations

5801 NW 151st St
Ste 207
Miami Lakes, FL 33014
Phone (305) 821-1115

Organizations & group practices 1

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1407556327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12792 SW 45TH DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276046",
            "telephone_number": "786-263-1198",
            "fax_number": "786-590-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12792 SW 45TH DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276046",
            "telephone_number": "786-263-1198",
            "fax_number": "786-590-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14645 NW 77th Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142569",
            "country_code": "US",
            "telephone_number": "786-263-1198",
            "fax_number": "786-590-2125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN LOPEZ",
        "first_name": "YAILIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.