Individual provider Active NPI

Alian Hernandez Lopez

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1710333596
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
140683 Issued in FL
Practice address
167 W 23Rd St
Hialeah, FL 33010-2211
Phone
(305) 823-3312
NPI assigned
May 10, 2016
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 140683 FL Primary

Addresses

Primary practice location

167 W 23Rd St
Hialeah, FL 33010-2211

Mailing address

5345 SW 115TH Ave
Miami, FL 33165-6821

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220827000475 FL Practitioner - General Practice 1355778184 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
140683FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altius Medical Center LLC Internal Medicine CurrentSince Oct 18, 2022 Accepting new patients
Elegant Medical Spa Center Inc CurrentSince Jun 26, 2025 Accepting new patients
1St Care Case Management Services LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

14221 SW 120th St
Ste 129
Miami, FL 33186
Phone (305) 279-1515

14750 SW 26th St
Ste 111
Miami, FL 33185
Phone (305) 456-4921

1400 NW 107th Ave
Ste 310
Sweetwater, FL 33172
Phone (305) 898-0849

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1710333596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 SW 115TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W 23RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102211",
            "telephone_number": "305-823-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ LOPEZ",
        "first_name": "ALIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "140683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.