MICHELLE LOPEZ (NPI# 1144759952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144759952 |
| Entity Type | Individual |
| Full Name | MICHELLE LOPEZ |
| Credential | MD |
| Practice Address |
1611 Nw 12th Ave Miami FL 33136 |
| Mailing Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 3055851111 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2018-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4725 N Federal Hwy, Fort Lauderdale, FL 333084603 | 9549383359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021941 | Michelle Carter Lopez | Nurse Practitioner | 1505 57th Ave N, Nashville, TN 37209-1459 | 2020-04-02 |
| 1699257287 | Michelle Lopez | Licensed Vocational Nurse | 1230 Nw 36th St, San Antonio, TX 78228-5942 | 2018-08-30 |
| 1447776133 | Michelle Emily Lopez | Counselor | 131 West Midway Drive, Anaheim, CA 92805 | 2017-08-15 |
| 1992244248 | Michelle Roxana Lopez | Social Worker | 978 Douglas Ave, Ste 100, Altamonte Springs, FL 32714-5205 | 2017-02-20 |
| 1215486519 | Michelle Lopez | Licensed Practical Nurse | 99 Wilson St Apt 14c, Brooklyn, NY 11249-6917 | 2016-09-27 |
| 1235596198 | Michelle Lopez | Occupational Therapy Assistant | 2415 Gresham Dr, Orlando, FL 32807-6409 | 2016-01-24 |
| 1679852917 | Michelle L Lopez | Nurse Practitioner | 6250 Sw 163rd Pl, Miami, FL 33193-4427 | 2011-08-04 |
| 1871674671 | Michelle Lorraine Lopez | Counselor | 1609 Wood Lk, Santa Ana, CA 92705-6990 | 2006-10-18 |
| 1609487081 | Michelle Lopez | Student in an Organized Health Care Education/Training Program | 103 Myron St Ste A, West Springfield, MA 01089-1485 | 2020-08-11 |
| 1255965638 | Michelle Lopez | Behavior Technician | 2115 W Crescent Ave Ste 244, Anaheim, CA 92801-3836 | 2020-02-25 |
| Street Address |
1611 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757298 | Florida International University | Clinic/Center | 1180 Sw 113th Ave, Arena Room 156, Miami, FL 33174 | 2014-07-10 |
| 1265737399 | Wound Technology Network | Clinic/Center | 19736 Sw 130th Avenue Rd, Miami, FL 33177-4010 | 2011-01-20 |
| 1326260928 | Health Depot Inc | Clinic/Center | 7919 Ne 2nd Ave, Miami, FL 33138 | 2007-05-03 |
| 1659830743 | Dennis Vanden Berge | Clinic/Center | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2019-03-18 |
| 1215431788 | Bansi Vyomesh Patel | Clinic/Center | 1611 Nw 12 Avenue, Miami, FL 33136 | 2018-03-20 |
| 1346460193 | Florida International University | Clinic/Center | 11200 Sw 8th St, Fiu University Health Services Complex 280, Miami, FL 33199-0001 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724939 | William A Butler | Clinic/Center | 250 E Colonial Dr Ste 200, Orlando, FL 32801-1231 | 2020-03-09 |
| 1215561832 | Michael Morgan | Clinic/Center | 2498 S 35th St, Fort Pierce, FL 34981-5573 | 2020-02-24 |
| 1225564073 | Michelle Henne, M.d., P.a. | Clinic/Center | 1510 S Lake Rochelle Dr, Winter Haven, FL 33881-9645 | 2017-05-11 |
| 1437692662 | Health Careers and Tutoring Inc | Clinic/Center | 10580 Nw 29th Mnr, Sunrise, FL 33322-1024 | 2016-11-20 |
| 1104225663 | Florida Keys Area Health Education Center, Inc. | Clinic/Center | 5800 Overseas Hwy Ste 38, Marathon, FL 33050-2744 | 2014-08-20 |
| 1730418641 | University of North Florida Student Medical Service | Clinic/Center | 1 Unf Drive, Building 39a Room 2098, Jacksonville, FL 32224-7699 | 2009-12-24 |
| 1720293665 | University Health Services-florida International University-bbc | Clinic/Center | 3000 Ne 151 Street, N. Miami, FL 33181-3605 | 2007-05-14 |
| 1427031020 | University of Florida | Clinic/Center | 1 Fletcher Dr, University of Florida, Gainesville, FL 32611-7500 | 2005-11-28 |
| 1164040473 | George Hernandez | Clinic/Center | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2020-07-13 |
| 1730716242 | Christopher Konkel | Clinic/Center | 6850 Lake Nona Blvd, Orlando, FL 32827-7408 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHELLE LOPEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.