Active NPI
Luisa M. Nieves Lopez, M.D.
- General Practice Physician
- Orlando, FL
National Provider Identifier
1427289206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17673
- Practice address
- 6320 Old Winter Garden Rd
Orlando, FL 32835-1381 - Phone
- (407) 729-9694
- Fax
- (866) 554-1716
- NPI assigned
- Jul 28, 2009
- Last updated
- Jul 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17673 | PR | Primary |
Addresses
Primary practice location
6320 Old Winter Garden Rd
Orlando, FL 32835-1381
Mailing address
PO Box 1212
Toa Alta, PR 00954-1212
Phone (787) 870-4704
Other practice location 1
L2 Calle 7
Toa Alta, PR 00953-2220
Phone (787) 399-2999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100715000676 | PR | Practitioner - General Practice | 6608908306 | Practice locations: Toa Alta, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Medical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Toa Alta, PR
- NPI 1043715287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1427289206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1212",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009541212",
"telephone_number": "787-870-4704",
"fax_number": "800-476-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 OLD WINTER GARDEN RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328351381",
"telephone_number": "407-729-9694",
"fax_number": "866-554-1716"
}
],
"practiceLocations": [
{
"address_1": "L2 Calle 7",
"address_purpose": "LOCATION",
"city": "Toa Alta",
"state": "PR",
"postal_code": "009532220",
"country_code": "US",
"telephone_number": "787-399-2999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEVES LOPEZ",
"first_name": "LUISA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.