Jorge Lopez-Canino, MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME123509 Issued in FL

Legal business name

JORGE LOPEZ-CANINO, MD, PA

Practice address

15495 Eagle Nest LN Ste 245
Miami Lakes, FL 33014

Phone

(305) 330-6692

Fax

(305) 330-6686

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Ana Lopezcanino

Title

Office Manager

Phone

(305) 330-6692

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Lopez-Canino, M.D.

  • Surgery Physician
  • Miami Lakes, FL
  • NPI 1184813149
  Medicare reassignment
• Diana Bacallao

  • Behavior Analyst
  • Miramar, FL
  • NPI 1811830573
  NPD

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1467803411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 NW 79TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166644",
            "telephone_number": "305-330-6692",
            "fax_number": "305-330-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 EAGLE NEST LN STE 245",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-330-6692",
            "fax_number": "305-330-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE LOPEZ-CANINO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZCANINO",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-330-6692"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME123509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niurka Jimenez
• Orlando Jimenez Jr., PTA
• Kristina Jogno
• Logan James Johnstone, COTA/L
• Anya Jones
• Jorge Paoli-Bruno, M.D., P.a.
• Jamie Alejandra Jorge
• Christopher Jorges
• Jose E Betancourt MD PA
• Jose V Perez DO PA

• Surgery Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.