Camilo E. Lopez PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CAMILO E. LOPEZ PA

Practice address

10445 SW 128TH Ter
Miami, FL 33176-5540

Phone

(305) 232-8234

NPI assigned

Aug 15, 2007

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camilo E Lopez, PANPI 1043253479

Title

Owner

Phone

(786) 290-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Select Specialty Hospital - Miami Lakes Inc.

  • Long Term Care Hospital
  • Miami Lakes, FL
  • NPI 1730643131

  O20120830000782

  Same enrollment

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camilo E Lopez, P.A

  • Physician Assistant
  • Miami, FL
  • NPI 1043253479
  Medicare reassignment NPD Authorized official
• Eddie Armas, MD

  • General Practice Physician
  • South Miami, FL
  • NPI 1528092640
  NPD
• Roberto Raul Del Cristo, M.D

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1124133723
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1760674501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 SW 128TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765540",
            "telephone_number": "786-290-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10445 SW 128TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765540",
            "telephone_number": "305-232-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILO E. LOPEZ PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-290-3211",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291032200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camillus Health Concern, Inc.
• Camillus House, Inc.
• Camillus Pharmacy (Camillus Pharmacy & Discount)
• Camillus Pharmacy LC
• Camillus Pharmacy LLC (Camillus Pharmacy & Discount)
• Giselle Alexandra Camilo, PMHNP
• Natalie A Camilo, BEHAVIOR TECHNICIAN
• Barbara Andrea Camin
• Mara Stephanie Camina
• Gabriela Leticia Caminero

• 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 Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.