Individual provider Active NPI

Asriel Lopez

  • Physical Disabilities Residential Treatment Facility
  • Tampa, FL
National Provider Identifier
1881144293
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
AL11512 Issued in FL
Practice address
3211 W Sitka St
Tampa, FL 33614-2701
Phone
(813) 410-0828
Fax
(813) 999-4036
NPI assigned
Oct 10, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X AL11512 FL Primary

Addresses

Primary practice location

3211 W Sitka St
Tampa, FL 33614-2701

Mailing address

3211 W Sitka St
Tampa, FL 33614-2701
Phone (813) 410-0828

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

State licenses

LicenseStateTypeSpecialty
AL11512FLMDPhysical Disabilities Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lake Alf Past Accepting new patients
Maria'S Alf, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1881144293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 W SITKA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142701",
            "telephone_number": "813-410-0828",
            "fax_number": "813-999-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 W SITKA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142701",
            "telephone_number": "813-410-0828",
            "fax_number": "813-999-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ASRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "AL11512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.