Mirian E Lopez, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN9172308 Issued in FL

Practice address

2295 Victoria Ave
Suite 112
Fort Myers, FL 33901-3884

Phone

(239) 461-7633

Fax

(239) 461-7639

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Island Coast Primary Care Project, Inc.

  • Primary Care Clinic/Center
  • Fort Myers, FL
  • NPI 1154396372
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497962021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 S HEALTHPARK DR",
            "address_2": "SUITE 410",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087603",
            "telephone_number": "239-433-6760",
            "fax_number": "239-433-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 VICTORIA AVE",
            "address_2": "SUITE 112",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013884",
            "telephone_number": "239-461-7633",
            "fax_number": "239-461-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MIRIAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9172308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Lopez, CRNA
• Geraldhine Vanessa Lopez, MD
• Karen Lopez, FNP-BC
• Kayla Lopez, RBT
• Mabel Lopez, PH.D.
• Patricia Lopez, MS
• Rafael Lopez, MD
• Toni Lopez, LMHC
• Veronica Lopez
• Yanin Caridad Lopez, ARNP

• All providers in Fort Myers, FL
• Case Management Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.