Active NPI
Javier Perez Lopez
- Family Nurse Practitioner
- Medley, FL
National Provider Identifier
1689484404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11037138
- Practice address
- 7911 NW 72ND Ave Ste 111
Medley, FL 33166-2221 - Phone
- (305) 888-6959
- NPI assigned
- Jan 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11037138 | FL | Primary |
Addresses
Primary practice location
7911 NW 72ND Ave Ste 111
Medley, FL 33166-2221
Mailing address
4130 NE 22ND St
Homestead, FL 33033-5136
Phone (786) 720-4569
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1460 S Palm Ave
Pembroke Pines, FL 33025-5520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11037138 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moya-Prida MD | Family | Current | Accepting new patients |
Locations
7911 NW 72nd Ave
Ste 111
Medley, FL 33166
Phone (305) 888-6959
1460 S Palm Ave
Pembroke Pines, FL 33025
Phone (305) 888-6959
Organizations & group practices 1
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": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1689484404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 NE 22ND ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335136",
"telephone_number": "786-720-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7911 NW 72ND AVE STE 111",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331662221",
"telephone_number": "305-888-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ LOPEZ",
"first_name": "JAVIER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-13",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11037138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.