Organization Active NPI

Lopezmd

  • Internal Medicine Physician
  • Weston, FL
National Provider Identifier
1861059768
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOPEZMD
Practice address
19161 Seneca Ave
Weston, FL 33332-2436
Phone
(786) 501-3757
Fax
(954) 400-3353
NPI assigned
May 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Dr. Reynaldo Lopez, MD
Title
President
Phone
(786) 501-3757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19161 Seneca Ave
Weston, FL 33332-2436

Mailing address

19161 Seneca Ave
Weston, FL 33332-2436
Phone (786) 501-3757

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1861059768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19161 SENECA AVE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322436",
            "telephone_number": "786-501-3757",
            "fax_number": "954-400-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19161 SENECA AVE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322436",
            "telephone_number": "786-501-3757",
            "fax_number": "954-400-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-26",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-501-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.