Individual provider Active NPI

Yelani Lopez, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1487469359
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9119798 Issued in FL
Practice address
9100 SW 87TH Ave
Miami, FL 33176-2303
Phone
(305) 554-7679
Fax
(305) 554-7616
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 9119798 FL Primary

Addresses

Primary practice location

9100 SW 87TH Ave
Miami, FL 33176-2303

Mailing address

900 SW 84TH Ave
Miami, FL 33144-4184
Phone (786) 349-8113

Other practice location 1

1150 NW 72nd Ave Ste 305
Miami, FL 33126-1920
Phone (305) 461-3116

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
I20251016000037 FL Practitioner - Physician Assistant 2769979467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9119798FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Neurosurgeons LLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

9100 SW 87th Ave
Miami, FL 33176
Phone (305) 271-9100

21097 NE 27th Ct
Ste 540
Miami, FL 33180
Phone (305) 937-3022

21097 NE 27th Ct
Ste 320
Miami, FL 33180
Phone (305) 933-8465

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1487469359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SW 84TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444184",
            "telephone_number": "786-349-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762303",
            "telephone_number": "305-554-7679",
            "fax_number": "305-554-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 NW 72nd Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331261920",
            "country_code": "US",
            "telephone_number": "305-461-3116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "YELANI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9119798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.