Lopez Medical Practice LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME89435 Issued in FL

Legal business name

LOPEZ MEDICAL PRACTICE LLC

Practice address

351 NW 42ND Ave
Suite 403
Miami, FL 33126-5683

Phone

(305) 643-6447

Fax

(305) 541-5801

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Olga E Lopez, M.D.NPI 1871521765

Title

President

Phone

(305) 643-6447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olga E Lopez, M.D.

  • General Practice Physician
  • Miami, FL
  • NPI 1871521765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700083086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651555",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332651555",
            "telephone_number": "305-643-6447",
            "fax_number": "305-541-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "address_2": "SUITE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-643-6447",
            "fax_number": "305-541-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-643-6447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME89435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaniel Lopez Marrero, APRN
• Yudenia Y Lopez Martin
• Eniday Lopez Martinez
• Mirtha Erika Lopez Martinez, RBT
• Yanet Lopez Martinez
• Daysi Lopez Meneses
• Daybel Lopez Mesa
• Maribel Lopez Mirabal
• Alessandra Lopez Mobilia
• Angel Alberto Lopez Mola

• General Practice Physician in Miami, FL
• Providers in Miami, 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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.