Active NPI
Anibal Reinier Cabrera Lopez
- Family Nurse Practitioner
- Miami Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11006635
- Practice address
- 1740 NW 167TH St
Miami Gardens, FL 33054-6661 - Phone
- (786) 856-8237
- NPI assigned
- Mar 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704420118 | MI | |
| Family Nurse Practitioner | 363LF0000X | APRN11006635 | FL | Primary |
Addresses
Primary practice location
1740 NW 167TH St
Miami Gardens, FL 33054-6661
Mailing address
1740 NW 167TH St
Miami Gardens, FL 33054-6661
Phone (786) 856-8237
Other practice location 1
20263 Hoover St
Detroit, MI 48205-1033
Phone (786) 856-8237
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 434-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704420118 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aoc Healthcare Center | Current | Accepting new patients | |
| Shi Keys LLC | Current | Accepting new patients |
Locations
4801 Hollywood Blvd
Ste B
Hollywood, FL 33021
Phone (954) 927-5382
3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533
91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000
20263 Hoover St
Detroit, MI 48205
Phone (786) 856-8237
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Hollywood, FL
- NPI 1730755562
-
- Emergency Medicine Physician
- Tavernier, FL
- NPI 1952903536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1790311454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330546661",
"telephone_number": "786-856-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330546661",
"telephone_number": "786-856-8237"
}
],
"practiceLocations": [
{
"address_1": "20263 Hoover St",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482051033",
"country_code": "US",
"telephone_number": "786-856-8237",
"fax_number": "786-685-2424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABRERA LOPEZ",
"first_name": "ANIBAL",
"middle_name": "REINIER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-13",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704420118",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11006635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.