Individual provider Active NPI

Maria Elena Lopez, ARNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1801479845
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012907 Issued in FL
Practice address
4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814
Phone
(786) 899-0119
Fax
(786) 899-0440
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 GAA-NP003726 GA
Family Nurse Practitioner 363LF0000X 11012907 FL Primary

Addresses

Primary practice location

4835 E 4TH Ave Ste B
Hialeah, FL 33013-1814

Mailing address

2970 W 2ND Ave
Hialeah, FL 33012-5404
Phone (786) 286-8962

Other identifiers 1

IdentifierTypeStateIssuer
2020066603MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL barrosomedical@gmail.com

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
I20210930002686 FL Practitioner - Nurse Practitioner 2062819238 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

21301 Powerline Rd
Suite 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012907FLMDFamily Nurse Practitioner
GAA-NP003726GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travel Doctor, PL CurrentSince Jan 22, 2025 Accepting new patients
The Clinicians, LLC CurrentSince Jan 22, 2025 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

Interoperability endpoints

  • Direct secure messaging: maria.lopez@237407481626628.direct.elationemr.com

Organizations & group practices 4

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1801479845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 W 2ND AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125404",
            "telephone_number": "786-286-8962",
            "fax_number": "786-899-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 E 4TH AVE STE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131814",
            "telephone_number": "786-899-0119",
            "fax_number": "786-899-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020066603",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "barrosomedical@gmail.com",
            "affiliation": "N",
            "address_1": "4835 E 4th Ave Ste B",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330131814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.