Alberto Tomas Lopez Lara

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9365056 Issued in FL

Practice address

4791 W 4TH Ave
Hialeah, FL 33012-3938

Phone

(305) 825-0500

Fax

(305) 825-5557

NPI assigned

Jul 9, 2018

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carlos Ramos MD PA

  • Gastroenterology Physician
  • Miami, FL
  • NPI 1245325042
  Medicare reassignment NPD

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1811483233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "305-468-4185",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123938",
            "telephone_number": "305-825-0500",
            "fax_number": "305-825-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ LARA",
        "first_name": "ALBERTO",
        "middle_name": "TOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9365056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anilin Lopez Gonzalez, APRN
• Enisleidy Lopez Gutierrez
• Saily Lopez Hernandez
• Yudany Lopez Hernandez
• Yukie Lopez Izaguirre, TCM
• Yasmary Lopez Lemus
• Luis Enrique Lopez Lopez, APRN
• Katia Lopez Manzanedo, BCBA
• Lopez Medical Equipments Corp
• Lopez Medical Supplies, Inc.

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.