Individual provider Active NPI

Olga E Lopez, M.D.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1871521765
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME89435 Issued in FL
Practice address
351 NW Le Jeune Rd
Suite 403
Miami, FL 33126-5683
Phone
(305) 643-6447
Fax
(305) 541-5801
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME89435 FL Primary

Addresses

Primary practice location

351 NW Le Jeune Rd
Suite 403
Miami, FL 33126-5683

Mailing address

PO Box 651555
Miami, FL 33265-1555
Phone (305) 643-6447

Other identifiers 3

IdentifierTypeStateIssuer
268880800MedicaidFL
ME89435OtherFLSTATE LICENSE NUMBER
47448OtherFLBLUE CROSS BLUE SHIELD NU

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001866 FL Practitioner - Internal Medicine 6800881434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

351 NW 42ND Ave
Suite 403
Miami, FL 33126-5688
Phone (305) 643-6447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lopez Medical Practice LLC General Practice CurrentSince Jan 27, 2005 Accepting new patients
Centro Medico of Sweetwater Past Accepting new patients
Hope Health Services Inc General Practice Past Accepting new patients

Locations

351 NW Le Jeune Rd
Ste 403
Miami, FL 33126
Phone (305) 643-6447

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1871521765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651555",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332651555",
            "telephone_number": "305-643-6447",
            "fax_number": "305-541-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW LE JEUNE RD",
            "address_2": "SUITE 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-643-6447",
            "fax_number": "305-541-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "OLGA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME89435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268880800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME89435",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NU",
            "identifier": "47448",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.