Millied Lopez de Victoria, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17815 Issued in FL

Practice address

18255 Homestead Ave
Miami, FL 33157-5564

Phone

(305) 278-6420

Fax

(786) 573-2867

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1467405423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SW 216TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901003",
            "telephone_number": "305-253-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18255 HOMESTEAD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331575564",
            "telephone_number": "305-278-6420",
            "fax_number": "786-573-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DE VICTORIA",
        "first_name": "MILLIED",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17815",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076638100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902U9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lopez de la Maza
• Yanet Lopez de la Vega
• Katia Lopez de Mendoza, APRN
• Victor Sergio Lopez de Mendoza, M.D.
• Patricia Lopez de Mesa, APRN
• Eduardo E Lopez del Castillo, MD
• Zuzel Lopez del Castillo, PHARMD
• Jose Antonio Lopez del Pozo, DDS
• Thalia Lopez Diaz
• Eliel David Lopez Dominguez

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.

Verify at the official NPI Registry.