Individual provider Active NPI

Katia Lopez de Mendoza, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1437981651
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN9550764 Issued in FL
Practice address
3661 S Miami Ave Ste 901
Miami, FL 33133-4214
Phone
(786) 717-8003
Fax
(786) 513-8535
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN9550764 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 901
Miami, FL 33133-4214

Mailing address

3661 S Miami Ave Ste 901
Miami, FL 33133-4214
Phone (786) 717-8003

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
I20240919001001 FL Practitioner - Nurse Practitioner 4880135714 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9550764FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Lopez de Mendoza, MD PLLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1437981651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "786-717-8003",
            "fax_number": "786-513-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "786-717-8003",
            "fax_number": "786-513-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DE MENDOZA",
        "first_name": "KATIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9550764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.