Individual provider Active NPI

Aylin Lopez Alonso, ARNP

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1497209704
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9328231 Issued in FL
Practice address
3157 N University Dr
Suite 107
Hollywood, FL 33024-2258
Phone
(954) 990-0595
Fax
(954) 827-2900
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9328231 FL Primary

Addresses

Primary practice location

3157 N University Dr
Suite 107
Hollywood, FL 33024-2258

Mailing address

18459 Pines Blvd
Suite 213
Pembroke Pines, FL 33029-1400
Phone (954) 675-6566

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9328231OtherFLMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alopezalonso@mhs.net

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
I20220725000514 FL Practitioner - Nurse Practitioner 1153702048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

3702 Washington St
Suite 303
Hollywood, FL 33021-8287
Phone (954) 518-2424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9328231FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Oct 13, 2022 Accepting new patients
Eastside Hospitalists Inc Nurse Practitioner CurrentSince Jul 11, 2022 Accepting new patients
South Broward Hospital District CurrentSince Oct 13, 2022 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3702 Washington St
Ste 303
Hollywood, FL 33021
Phone (954) 265-8326

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

Organizations & group practices 4

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1497209704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18459 PINES BLVD",
            "address_2": "SUITE 213",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291400",
            "telephone_number": "954-675-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR",
            "address_2": "SUITE 107",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-990-0595",
            "fax_number": "954-827-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ALONSO",
        "first_name": "AYLIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9328231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP9328231",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alopezalonso@mhs.net",
            "affiliation": "N",
            "address_1": "3157 N University Dr",
            "address_2": "suite 107",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330242258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.