Emilio Enrique Lopez, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME129118 Issued in FL

Practice address

7556 Lake Worth Rd Ste 103
Lake Worth, FL 33467-2503

Phone

(561) 894-1370

Fax

(561) 894-1372

NPI assigned

Mar 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Miami, LM Miller School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independent Multispecialty Group of Florida LLC.Group PAC ID 9638429731, 24 clinicians

Premier Interventional and Diagnostic Radiology, CorpGroup PAC ID 2668882879, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Premier Interventional and Diagnostic Radiology Corp

  • Vascular & Interventional Radiology Physician
  • Lake Worth, FL
  • NPI 1801437041
  Medicare reassignment Care Compare group NPD Authorized official
• Independent Multispecialty Group of Florida LLC

  • Surgery Physician
  • Wellington, FL
  • NPI 1346745122

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Boca Raton, FL
  • NPI 1699904169
  Medicare reassignment NPD
• Leon Medical Centers LLC

  • Health Service Clinic/Center
  • Miami, FL
  • NPI 1376579839
  Medicare reassignment NPD
• Blue Radiology Services LLC

  • Diagnostic Radiology Physician
  • Wellington, FL
  • NPI 1174976468
  Medicare reassignment
• Certified Foot & Ankle Specialists

  • Non-Pharmacy Dispensing Site
  • Jupiter, FL
  • NPI 1083269955
  NPD
• South Florida Diagnostic Resources LLC

  • Diagnostic Radiology Physician
  • Wellington, FL
  • NPI 1851754980
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wellington Regional Medical Center LLC

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1881919124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-894-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 LAKE WORTH RD STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672503",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EMILIO",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME129118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104439200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "advancedmd",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7556 Lake Worth Rd Ste 103",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334672503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maritza Lopez Silva
• Grisell Lopez-Fragoso, MD
• Bianca Lopez
• Christian De Jesus Lopez
• Deanna Lopez
• Jessica Lopez
• Jose Francisco Lopez, ST/SA-C
• Kenia De la C Lopez, D.D.S.
• Lesli McQuiston Lopez, LMT
• Sarah Kim Lopez, PT, DPT

• Vascular & Interventional Radiology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.