Individual provider Active NPI

Mayra Lopez, M.D.

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1558568816
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN469 Issued in FL
Practice address
4618 N Armenia Ave
Tampa, FL 33603-2706
Phone
(813) 997-6042
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16817 PR
General Practice Physician 208D00000X ACN469 FL Primary

Addresses

Primary practice location

4618 N Armenia Ave
Tampa, FL 33603-2706

Mailing address

8904 W Hamilton Ave
Tampa, FL 33615-2726
Phone (813) 509-8083

Other identifiers 1

IdentifierTypeStateIssuer
009081300MedicaidFL

Other names 1

  • Mrs. Mayra Lopez Muniz Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130927000290 FL Practitioner - General PracticePractitioner - Internal Medicine 3274622329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4618 N Armenia Ave
Tampa, FL 33603-2706
Phone (813) 997-6042

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cumedica Doctors Center General Practice CurrentSince May 4, 2019 Accepting new patients

Locations

1010 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-3415

4600 N Habana Ave
Ste 32
Tampa, FL 33614
Phone (813) 423-6515

4618 N Armenia Ave
Tampa, FL 33603
Phone (813) 876-0400

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1558568816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152726",
            "telephone_number": "813-509-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706",
            "telephone_number": "813-997-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MAYRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16817",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009081300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "LOPEZ MUNIZ",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.