Individual provider Active NPI

Raphael Joseph Lopez, ARNP FNP-BC

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1760958144
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9348684 Issued in FL
Practice address
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone
(954) 473-6600
NPI assigned
Oct 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9348684 FL
Nurse Practitioner 363L00000X APRN9348684 FL Primary

Addresses

Primary practice location

8201 W Broward Blvd
Plantation, FL 33324-2701

Mailing address

13847 NW 22ND CT
Sunrise, FL 33323-5306
Phone (954) 604-5755

Other practice location 1

5421 Beaumont Center Blvd
Tampa, FL 33634-5259
Phone (786) 644-6413

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
I20190114000934 FL Practitioner - Nurse Practitioner 5799021622 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9348684FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
FL-I Medical Services, P.a. Nurse Practitioner CurrentSince Oct 29, 2018 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Oct 29, 2018 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Dec 1, 2020 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107

1200 NW 78th Ave
Ste 101
Doral, FL 33126
Phone (305) 267-3950

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

Interoperability endpoints

  • Direct secure messaging: raphael.lopez@809235966787588.direct.elationemr.com

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1760958144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 NW 22ND CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333235306",
            "telephone_number": "954-604-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242701",
            "telephone_number": "954-473-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5421 Beaumont Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336345259",
            "country_code": "US",
            "telephone_number": "786-644-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAPHAEL",
        "middle_name": "JOSEPH",
        "credential": "ARNP FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9348684",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9348684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.