Individual provider Active NPI

Yudit Lopez Pena, APRN

  • Family Nurse Practitioner
  • Doral, FL
National Provider Identifier
1679170187
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009311 Issued in FL
Practice address
9250 NW 36TH St Ste 420
Doral, FL 33178-2775
Phone
(786) 873-1805
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009311 FL Primary

Addresses

Primary practice location

9250 NW 36TH St Ste 420
Doral, FL 33178-2775

Mailing address

3132 SE 3Rd Dr
Homestead, FL 33033-7217
Phone (786) 873-1805

Other practice location 1

28610 SW 157th Ave
Homestead, FL 33033-1234
Phone (786) 873-1805

Other practice location 2

3132 SE 3rd Dr
Homestead, FL 33033-7217
Phone (305) 266-2929

Other practice location 3

10980 SW 184th St
Cutler Bay, FL 33157-6615
Phone (305) 266-2929

Other practice location 4

11954 Narcoossee Rd # 2-504
Orlando, FL 32832-6998
Phone (800) 925-1840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yudit.lopez@centrumhealthfamily.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015002112 FL Practitioner - Nurse Practitioner 3476951872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centrum Medical Holdings, LLCGroup PAC ID 8820422991, 51 clinicians
Doctors at Home Tri CountyGroup PAC ID 2567773849, 14 clinicians

Practice addresses (Care Compare)

10980 SW 184TH St
Miami, FL 33157-6615
Phone (305) 266-2929

11954 Narcoossee Rd
Orando, FL 32832-6998
Phone (800) 925-1840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11009311FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Holdings, LLC Dba Centrum Health CurrentSince Sep 17, 2021 Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Sep 17, 2021 Accepting new patients
Centrum Medical Holdings, LLC Current Accepting new patients
Med Care Centers LLC CurrentSince May 6, 2024 Accepting new patients
Medcare Centers, LLC CurrentSince May 6, 2024 Accepting new patients
Doctors at Home Tri County CurrentSince Mar 25, 2023 Accepting new patients

Locations

10980 SW 184th St
Cutler Bay, FL 33157
Phone (305) 266-2928

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

900 W 49th St
Ste 308
Hialeah, FL 33012
Phone (305) 558-6622

4218 E 4th Ave
Hialeah, FL 33013
Phone (305) 828-1971

900 W 49th St
Ste 206
Hialeah, FL 33012
Phone (305) 571-6292

900 W 49th St
Ste 101
Hialeah, FL 33012

28610 SW 157th Ave
Homestead, FL 33033
Phone (786) 873-1805

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

7200 NW 7th St
Ste 202
Miami, FL 33126
Phone (305) 262-5833

434 SW 12th Ave
Miami, FL 33130
Phone (305) 294-9292

11825 SW 26th St
Miami, FL 33175
Phone (786) 447-4582

4767 NW 183rd St
Miami Gardens, FL 33055
Phone (305) 351-9337

11954 Narcoossee Rd
#2504
Orlando, FL 32832
Phone (561) 632-4863

11954 Narcoossee Rd
Ste 2
Orlando, FL 32832
Phone (407) 335-3549

11954 Narcoossee Rd
Ste 2504
Orlando, FL 32832
Phone (800) 925-1840

1417 Hamlin Ave
Unit F
Saint Cloud, FL 34771
Phone (800) 925-1840

5730 SW 74th St
Ste 200
South Miami, FL 33143

Organizations & group practices 6

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1679170187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 SE 3RD DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337217",
            "telephone_number": "786-873-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 NW 36TH ST STE 420",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782775",
            "telephone_number": "786-873-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28610 SW 157th Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330331234",
            "country_code": "US",
            "telephone_number": "786-873-1805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3132 SE 3rd Dr",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337217",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10980 SW 184th St",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331576615",
            "country_code": "US",
            "telephone_number": "305-266-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11954 Narcoossee Rd # 2-504",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326998",
            "country_code": "US",
            "telephone_number": "800-925-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ PENA",
        "first_name": "YUDIT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yudit.lopez@centrumhealthfamily.com",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Email",
            "address_1": "9250 NW 36th St Ste 420",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331782775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.