Active NPI
Manuel Lopez Prieto, M.D.
- General Practice Physician
- Miami, FL
National Provider Identifier
1972644342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME79042
- Practice address
- 11474 Quail Roost Dr
Miami, FL 33157-6575 - Phone
- (305) 793-0959
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME79042 | FL | Primary |
Addresses
Primary practice location
11474 Quail Roost Dr
Miami, FL 33157-6575
Mailing address
26301 SW 133Rd CT
Homestead, FL 33032-6892
Phone (305) 793-0959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45913 | Other | FL | BCBS PROV NUMBER |
| 257771200 | Medicaid | FL | |
| ME79042 | Other | FL | STATE LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79042 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anselmo H. Humaran MD,PA | General Practice | Past | Accepting new patients |
| Continental Health Network, Inc. | Past | Accepting new patients | |
| Adcare Medical Center | Past | Accepting new patients |
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.
-
- Health Maintenance Organization
- Miami, FL
- NPI 1609067990
-
- General Practice Physician
- Miami, FL
- NPI 1316249279
-
- Specialist
- Miami, FL
- NPI 1962449371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1972644342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26301 SW 133RD CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330326892",
"telephone_number": "305-793-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11474 QUAIL ROOST DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331576575",
"telephone_number": "305-793-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ PRIETO",
"first_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME79042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV NUMBER",
"identifier": "45913",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257771200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "ME79042",
"state": "FL"
}
],
"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 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.