Organization Active NPI

Irene Lopez-Albelo MD PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1447302567
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86022 Issued in FL
Legal business name
IRENE LOPEZ-ALBELO MD PA
Practice address
17892 SW 152ND CT
Miami, FL 33187
Phone
(305) 491-4955
Fax
(786) 592-2774
NPI assigned
Jan 17, 2007
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Irene Lopez-Albelo, MDNPI 1528026762
Title
Owner
Phone
(305) 491-4955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME86022 FL Primary

Addresses

Primary practice location

17892 SW 152ND CT
Miami, FL 33187

Mailing address

17892 SW 152ND CT
Miami, FL 33187-7764
Phone (305) 491-4955

Other practice location 1

17892 SW 152nd Ct
Miami, FL 33187
Phone (305) 491-4955

Other identifiers 1

IdentifierTypeStateIssuer
268412800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923001022 FL Part B Supplier - Clinic/Group Practice 3971571266 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

2001 NW 7th St
Ste 200
Miami, FL 33125
Phone (305) 491-4955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1447302567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17892 SW 152ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877764",
            "telephone_number": "305-491-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17892 SW 152ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33187",
            "telephone_number": "305-491-4955",
            "fax_number": "786-592-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17892 SW 152nd Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33187",
            "country_code": "US",
            "telephone_number": "305-491-4955",
            "fax_number": "786-592-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRENE LOPEZ-ALBELO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-ALBELO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-491-4955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268412800",
            "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 Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.