Individual provider Active NPI

Sergio Antonio Lopez Pina, APRN

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1457014482
Registry record updated Oct 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015872 Issued in FL
Practice address
401 SW 42ND Ave Ste 200
Coral Gables, FL 33134-1938
Phone
(305) 443-9943
NPI assigned
Oct 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11015872 FL Primary

Addresses

Primary practice location

401 SW 42ND Ave Ste 200
Coral Gables, FL 33134-1938

Mailing address

2633 SW 154TH CT
Miami, FL 33185-4870
Phone (786) 630-3690

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Miami Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015872FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1457014482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 SW 154TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854870",
            "telephone_number": "786-630-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 42ND AVE STE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341938",
            "telephone_number": "305-443-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ PINA",
        "first_name": "SERGIO",
        "middle_name": "ANTONIO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 SW 42nd Ave Ste 200",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331341938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.