Lidice Lopez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104530 Issued in FL

Practice address

1400 NW 12TH Ave
Suite 104
Miami, FL 33136-1003

Phone

(305) 545-6685

Fax

(305) 565-6687

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

No

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

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: llopez@dcm.emadirect.md

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.

• Dermatology Group of Florida, P.a.

  • Dermatology Physician
  • South Miami, FL
  • NPI 1497806459
  Medicare reassignment Care Compare group
• Cancer Healthcare Associates, P.L.

  • Radiation Oncology Physician
  • Miami Shores, FL
  • NPI 1053386276
  Medicare reassignment
• Francisco Flores MD PA

  • Dermatology Physician
  • Miramar, FL
  • NPI 1033302260
  Medicare reassignment
• The Derm Group LLP

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1801448519
  Medicare reassignment
• Complete Surgical Services, Inc.

  • Surgical Physician Assistant
  • Hialeah, FL
  • NPI 1467753863
  NPD (past) Authorized official

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1629231980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W 32ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125317",
            "telephone_number": "305-528-0447",
            "fax_number": "305-466-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "address_2": "SUITE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-545-6685",
            "fax_number": "305-565-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LIDICE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ledys Lopez
• Leonardo Vicente Lopez, M.D.
• Leticia Lopez, MD
• Lianet Lopez, ARNP
• Lianet Lopez
• Liilibeth Lopez
• Liliana Patricia Lopez, MS
• Lisel Lopez
• Lisset Lopez
• Lizandra Lopez

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.