Maribel Lopez-Borges, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1428 Issued in FL

Practice address

590 Malabar Rd SE Ste 1
Palm Bay, FL 32907-3108

Phone

(321) 343-6140

Fax

(844) 388-6186

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Maribel Lopez I Other name

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

Specialty

General Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: maribel.lopezborges@sl.eclinicaldirectplus.com

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.

• Florida Medical Associates LLC

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709
  Medicare reassignment Care Compare group NPD
• Carrousel Therapy Center Corporation

  • Forensic Psychiatry Physician
  • Kissimmee, FL
  • NPI 1023304128
  Medicare reassignment NPD
• Resto Pharmacy Inc

  • Community/Retail Pharmacy
  • Toa Baja, PR
  • NPI 1477720266
  NPD
• MD Health Inc.

  • Health Service Clinic/Center
  • Bayamon, PR
  • NPI 1811101785
  NPD (past)
• National Family Medical Associates, LLC

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1477287720
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1649349697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MALABAR RD SE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073108",
            "telephone_number": "321-343-6140",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E Melbourne Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329015970",
            "country_code": "US",
            "telephone_number": "321-312-1167",
            "fax_number": "844-388-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-BORGES",
        "first_name": "MARIBEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": "14365",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBEL",
            "last_name": "LOPEZ",
            "prefix": "MS.",
            "suffix": "I",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Anne Loftus
• Shannon Logan
• Carissa Long, HOME HEALTH
• Pierrela Mikael Longchamp
• Daniela Lopez Alvarez
• Margaret M Lopez-Grenville
• Yasmyn Lopez-Tompkins
• Ashley Lopez
• Kiara Lopez, FNP-BC
• Paul Dominic Lopreato, P.A.

• General Practice Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.