Premier Interventional and Diagnostic Radiology Corp

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

PREMIER INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY CORP

Doing business as

Premier Vascular and Interventional

Practice address

7556 Lake Worth Rd Ste 103
Lake Worth, FL 33467-2503

Phone

(561) 894-1370

Fax

(561) 894-1372

NPI assigned

Sep 30, 2019

Last updated

Feb 9, 2026By 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

Dr. Emilio Lopez, M.D.NPI 1881919124

Title

Authorized Official/Owner

Phone

(786) 547-7655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Vascular and Interventional Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 6

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.

• Emilio Enrique Lopez, M.D.

  • Vascular & Interventional Radiology Physician
  • Lake Worth, FL
  • NPI 1881919124
  Medicare reassignment Care Compare group NPD Authorized official
• Seyed-Mojtaba Gashti, D.O.

  • Vascular Surgery Physician
  • Wellington, FL
  • NPI 1649271925
  Medicare reassignment Care Compare group NPD
• Mikhail C.S.S. Higgins, MD

  • Vascular & Interventional Radiology Physician
  • Delray Beach, FL
  • NPI 1841583051
  Medicare reassignment NPD
• Cindy W. Tam, APRN

  • Adult Health Nurse Practitioner
  • Lake Worth, FL
  • NPI 1689433666
  Medicare reassignment NPD
• Chelsea Sarah Wright, APRN

  • Family Nurse Practitioner
  • Lake Worth, FL
  • NPI 1073153318
  Medicare reassignment NPD
• Timothy Earl Yates, MD

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
  • NPI 1437403193
  Medicare reassignment

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1801437041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4205 W Atlantic Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334453901",
            "country_code": "US",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301A West Palmetto Road",
            "address_2": "Ste. 200C",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333466",
            "country_code": "US",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12953 Palms West Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334704992",
            "country_code": "US",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "786-547-7655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104439200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "advancedmd",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7556 Lake Worth Rd Ste 103",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334672503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premier Vascular and Interventional",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Vascular and Interventional",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ppec Transport Services, LLC
• Practical Wellness Solutions PWS
• Precision Diagnostic Inc
• Precision Diagnostic of Lake Worth, LLC
• Premier First Healthcare Solutions
• Premier Rehab Solutions LLC (Premier Rehab Solutions)
• Michel Prendes
• Prestige Comfort Home Health Care, LLC
• Prestige Global Nursing Services
• Primary Total Care Corp

• Vascular & Interventional Radiology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.