Individual provider Active NPI

Jose A Lopez Raymat, ARNP,SAC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1841430774
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030303 Issued in FL
Practice address
8000 Grand Canal Dr
Miami, FL 33144-2150
Phone
(786) 379-1204
NPI assigned
Mar 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 08194 CO
Family Nurse Practitioner 363LF0000X APRN11030303 FL Primary

Addresses

Primary practice location

8000 Grand Canal Dr
Miami, FL 33144-2150

Mailing address

8000 Grand Canal Dr
Miami, FL 33144-2150
Phone (786) 379-1204

Other identifiers 1

IdentifierTypeStateIssuer
08194OtherCOAMERICAN BOARD OF SURGICAL ASSISTANTS

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
I20240202001131 FL Practitioner - Nurse Practitioner 3870946148 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08194COMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lamas Surgical Associates P.a. CurrentSince Feb 1, 2024 Accepting new patients

Locations

372 W 47th St
Hialeah, FL 33012
Phone (305) 698-0112

Organizations & group practices 1

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1841430774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 GRAND CANAL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442150",
            "telephone_number": "786-379-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 GRAND CANAL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442150",
            "telephone_number": "786-379-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RAYMAT",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "ARNP,SAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "08194",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF SURGICAL ASSISTANTS",
            "identifier": "08194",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.