DR. TYRONE J LOPEZ DAVILA SR. M.D
NPI 1447696315
General Practice in Miami, FL

Q: What is Tyrone Lopez Davila's NPI number?

The NPI number for Tyrone Lopez Davila is 1447696315. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Q: What is Tyrone Lopez Davila's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 17, 2013PECOS Enrolled

1490 NW 27TH AVE STE 130, MIAMI, FL 33125(305) 635-7710(786) 621-7817 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 19, 2022, Aug 13, 2021 (2 updates tracked since 2021).

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About Dr. Tyrone J Lopez Davila Sr. M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYRONE J LOPEZ DAVILA SR. M.D (NPI 1447696315) is an individual general practice provider in Miami, Florida, licensed in Florida (ACN546) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447696315

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. TYRONE J LOPEZ DAVILA SR.Credential: M.D

Location Address1490 NW 27TH AVE STE 130Miami, FL 33125-2173

Mailing Address6100 Blue Lagoon Dr Ste 365Miami, FL 33126-7010 · (786) 322-7333 · Fax (786) 621-7817

Phone(305) 635-7710

Fax(786) 621-7817

Sole ProprietorYes

Enumeration DateMay 17, 2013

Last NPPES UpdateApril 19, 20222 updates tracked since enumeration

NPPES CertifiedApril 19, 2022

✔ NPI 1447696315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ACN546✔ Licensed in PR · 020572

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1490 NW 27TH AVE STE 130, Miami, FL 33125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyrone J Lopez Davila Sr. M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tyrone Lopez Davila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Medical Group Of Miami, LLC.

Same address

Family Medicine

1490 NW 27TH AVE, SUITE 130
Miami, FL 33125

Reassigned Medicare billing, Florida enrollment
15 clinicians in this Medicare group

NPI 1619259264 (305) 635-7710

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLOVIS MARIA RAMIREZ ARTEAGA APRN

Nurse Practitioner (Family)