Individual provider Active NPI

Jorge Lopez

  • Social Worker
  • Miami, FL
National Provider Identifier
1871252270
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2100 Coral Way Ste 310
Miami, FL 33145-2657
Phone
(786) 320-1677
NPI assigned
Dec 13, 2021
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2100 Coral Way Ste 310
Miami, FL 33145-2657

Mailing address

2953 SW 39TH Ave
Miami, FL 33134-7352
Phone (786) 320-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ydzm Business Group LLC Case Manager/Care Coordinator CurrentSince Apr 27, 2025 Accepting new patients
San Miguel Community Wellness Center PastSince Dec 1, 2021 Accepting new patients
San Miguel Community Wellness Center PastSince Apr 1, 2023 Accepting new patients

Locations

2100 Coral Way
Ste 310
Miami, FL 33145
Phone (786) 320-1677

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1871252270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 SW 39TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331347352",
            "telephone_number": "786-320-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CORAL WAY STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452657",
            "telephone_number": "786-320-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.