Mailyn Lopez Olivera

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11036649 Issued in FL

Practice address

3625 NW 82ND Ave Ste 306
Doral, FL 33166-7601

Phone

(786) 773-5216

NPI assigned

Nov 22, 2017

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tree of Life Medical Center Corp

  • Health Service Clinic/Center
  • Doral, FL
  • NPI 1891562146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1679087910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 306",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667601",
            "telephone_number": "786-337-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 NW 82ND AVE STE 306",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331667601",
            "telephone_number": "786-773-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14763 SW 173rd Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331871798",
            "country_code": "US",
            "telephone_number": "786-337-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ OLIVERA",
        "first_name": "MAILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Lopez Frontela, SA-C
• Jose Ramon Lopez Hernandez, SA-C
• Dunia Lopez Leon
• Geyris M Lopez Matos
• Sonia L Lopez Mesa
• Yudit Lopez Pena, APRN
• David Eliecer Lopez Salamanca, PT, MSC EPIDEMIOLOGY
• Lopez Sano Medical Services, Inc.
• Clery Claudia Lopez Valdes, APRN
• Armando Lopez-Moreno, RPH

• Family Nurse Practitioner in Doral, FL
• Providers in Doral, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.