LIDICE LOPEZ PA
NPI 1629231980
Physician Assistant in Miami, FL

Q: What is Lidice Lopez's NPI number?

The NPI number for Lidice Lopez is 1629231980. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Q: What is Lidice Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lidice Lopez was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment

1400 NW 12TH AVE, SUITE 104, MIAMI, FL 33136(305) 545-6685(305) 565-6687 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lidice Lopez Pa NPPES

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

LIDICE LOPEZ PA (NPI 1629231980) is an individual physician assistant in Miami, Florida, licensed in Florida (PA9104530) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1629231980

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLIDICE LOPEZCredential: PA

Location Address1400 NW 12TH AVE, SUITE 104Miami, FL 33136-1003

Mailing Address261 W 32nd StHialeah, FL 33012-5317 · (305) 528-0447 · Fax (305) 466-3223

Phone(305) 545-6685

Fax(305) 565-6687

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 8, 2008

Last NPPES UpdateSeptember 11, 2009

✔ NPI 1629231980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9104530

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1400 NW 12TH AVE, Miami, FL 33136

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lidice Lopez Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527250786

PECOS Enrollment IDI20101006000187

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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