Individual provider Active NPI

Emilio H Lopez, MD

  • Pediatrics Physician
  • Homestead, FL
National Provider Identifier
1639228901
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME56287 Issued in FL
Practice address
3084 NE 41St Ter
Homestead, FL 33033-6619
Phone
(305) 245-8050
Fax
(305) 245-5950
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X ME56287 FL
Pediatrics Physician 208000000X ME56287 FL Primary

Addresses

Primary practice location

3084 NE 41St Ter
Homestead, FL 33033-6619

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Other identifiers 1

IdentifierTypeStateIssuer
272071000MedicaidFL

Other names 1

  • Emilio Enrique Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121002467 FL Practitioner - Pediatric Medicine 5496247041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9725 NW 117TH Ave
FL 2
Medley, FL 33178-1212

9725 NW 117TH Ave FL
Suite 2
Medley, FL 33178-1212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56287FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC CurrentSince Sep 6, 2025 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics PastSince Feb 2, 2020 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC Pediatrics PastSince Feb 2, 2020 Accepting new patients

Locations

4580 SW 8th St
Coral Gables, FL 33134
Phone (305) 443-7427

8333 NW 53rd St
Fl 6
Doral, FL 33166

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

10040 SW 40th St
Miami, FL 33165
Phone (305) 559-3605

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

Interoperability endpoints

  • Direct secure messaging: leanet.meana@chealth.eclinicaldirectplus.com

Organizations & group practices 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1639228901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 NE 41ST TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330336619",
            "telephone_number": "305-245-8050",
            "fax_number": "305-245-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EMILIO",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME56287",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME56287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272071000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIO",
            "last_name": "LOPEZ",
            "middle_name": "ENRIQUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.