Sandra B Lopez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9103461 Issued in FL

Practice address

9850 S Federal Highway
Port St Lucie, FL 34972

Phone

(772) 335-1500

Fax

(772) 335-1116

NPI assigned

Oct 2, 2006

Last updated

Jan 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliant Dermatology PAGroup PAC ID 9436305273, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73.67 of 100Reported as individual

Quality

52.13

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts, Physician Assistant

State licenses

Practice roles

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.

• Alliant Dermatology PA

  • Dermatology Physician
  • The Villages, FL
  • NPI 1619232501
  Medicare reassignment Care Compare group
• Florida Dermatologic Surgery & Aesthetics Institute PA

  • Dermatology Physician
  • The Villages, FL
  • NPI 1427180645
  Medicare reassignment
• Florida Pathology PA

  • Clinical Medical Laboratory
  • The Villages, FL
  • NPI 1427149558
  NPD (past)
• W & J Rehabilitation Center Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1023042629
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1770676884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 NW ALLYSE DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864650",
            "telephone_number": "772-905-2583",
            "fax_number": "772-335-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 S FEDERAL HIGHWAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "772-335-1500",
            "fax_number": "772-335-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SANDRA",
        "middle_name": "B",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daimi Lopez Rodriguez
• Daimarys Lopez
• Karinee Mariel Lopez
• Lenin Lopez
• Monica Lopez, B.T
• Wilcer A Lora Cartaya
• Brianna Lorenz
• Germine Lormera
• Philip Lortz, MD
• Tiffany Losius

• Medical Physician Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.

Verify at the official NPI Registry.