DR. MARIO LOPEZ (NPI# 1316380819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316380819 |
| Entity Type | Individual |
| Full Name | DR. MARIO LOPEZ |
| Credential | MD |
| Practice Address |
4300 Alton Rd Miami Beach FL 33140 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 3054819776 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME129533 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4501 W 64th St, Chicago, IL 606295501 | 7739792525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427677780 | Mario Lopez | Specialist/Technologist | 4115 32nd Ave Sw, Naples, FL 34116-8315 | 2020-04-15 |
| 1487035416 | Mario Lopez | Social Worker | 214 N Byron Dr, Lemoore, CA 93245-2559 | 2015-06-16 |
| 1427079094 | Mario Ordono Lopez | Family Medicine | 720 Alamitos Ave, Long Beach, CA 90813-4726 | 2006-07-21 |
| 1952355968 | Mario R. Lopez | Internal Medicine | 116-1 Calle 74, Villa Carolina, Carolina, PR 00985-4117 | 2006-05-22 |
| 1720043102 | Mario M Lopez | Internal Medicine | Edith Nourse Rogers Veterans Memorial Hospital, 200 Springs Road, Bedford, MA 01730 | 2006-04-19 |
| 1386129351 | Mario Enrique Lopez | Behavior Technician | 3664 Sw 150th Ct, Miami, FL 33185-3968 | 2018-09-26 |
| 1336598036 | Mario Lopez | Dental Assistant | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1932335080 | Mario Alberto Lopez | Physician Assistant | 8788 Jamacha Rd, Spring Valley, CA 91977-4035 | 2009-06-03 |
| 1104010008 | Mario Marchan Lopez | Case Manager/Care Coordinator | 10182 Indiana Ave, Riverside, CA 92503-5304 | 2007-09-04 |
| 1235340985 | Mario A. Lopez | Physical Therapy Assistant | 15600 San Pedro Ave, Suite 307, San Antonio, TX 78232-3740 | 2007-05-24 |
| Street Address |
4300 ALTON RD |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606117 | Gerardo Minsal | Internal Medicine | 4300 Alton Rd, Miami Beach, FL 33140-2800 | 2005-06-01 |
| 1386259992 | Premalkumar M Patel | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-09-10 |
| 1821602269 | Riceldys Caridad Ramos Soto | Nurse Practitioner | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-09-02 |
| 1336751403 | Sara Afraz | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-20 |
| 1902417306 | Roshanak Azimi | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-11 |
| 1104437649 | Hisham Bahmad | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-10 |
| 1962012625 | Marissa Donatelle | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-08-06 |
| 1790303501 | Mohamad Elajami | Internal Medicine | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-07-08 |
| 1467070409 | Fabiana Vastola | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-07-07 |
| 1730705278 | Nicholas Stephen Robert Martin | Nurse Anesthetist, Certified Registered | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2020-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
| 1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
| 1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
| 1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
| 1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
| 1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
| 1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
| 1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
| 1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
| 1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
| Find all providers in zip 33140 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619439874 | Yolanda Collada | Family Medicine | 900 Bay Dr Apt 501, Miami Beach, FL 33141-5654 | 2019-04-04 |
| 1952776072 | Edgar Gerardo Acosta | Family Medicine | 8201 Byron Ave Apt 205, Miami Beach, FL 33141-4921 | 2015-12-01 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1871855148 | Darpini M.d. | Family Medicine | 650 West Ave 1707, Miami Beach, FL 33139-6364 | 2012-06-13 |
| 1659699296 | Roxane Scemla | Family Medicine | 825 Arthur Godfrey Road Suite 100, Miami Beach, FL 33140 | 2010-05-06 |
| 1184947012 | Simge Befeler | Family Medicine | 5712 Alton Rd, Miami Beach, FL 33140-2021 | 2010-03-06 |
| 1639397557 | Livia Coral Gadea | Family Medicine | 5757 Collins Ave, Apt .1203, Miami Beach, FL 33140-2300 | 2007-04-23 |
| 1912048554 | Nina C Ellenbogen | Family Medicine | 39 Lagorce Cir, Miami Beach, FL 33141-4519 | 2007-02-08 |
| 1205922135 | Jorge A Gonzalez | Family Medicine | 4302 Alton Rd Ste 1020, Miami Beach, FL 33140-2890 | 2006-10-05 |
| 1629183249 | Alma Rosa Sanjur | Family Medicine | 975 Arthur Godfrey Road, Suite 501, Miami Beach, FL 33140 | 2006-08-21 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33140 |
Please comment or provide details below to improve the information on DR. MARIO 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.