LOPEZ MEDICAL PRACTICE LLC
NPI 1700083086
General Practice in Miami, FL

Active since June 29, 2007CLIA 10D1053712 · Waiver
351 NW 42ND AVE, SUITE 403, MIAMI, FL 33126(305) 643-6447(305) 541-5801 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lopez Medical Practice Llc NPPES

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

LOPEZ MEDICAL PRACTICE LLC (NPI 1700083086) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Olga E Lopez, President, as its authorized official.

NPPES Registry Identity

NPI1700083086
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLOPEZ MEDICAL PRACTICE LLC
Location Address351 NW 42ND AVE, SUITE 403Miami, FL 33126-5683
Mailing AddressPo Box 651555Miami, FL 33265-1555 · (305) 643-6447 · Fax (305) 541-5801
Fax(305) 541-5801
Organization SubpartNo
Authorized OfficialOlga E LopezPresident · (305) 643-6447
Enumeration DateJune 29, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1700083086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME89435
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
351 NW 42ND AVE, Miami, FL 33126

Other Identifiers 1

Medicare PINK7492FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lopez Medical Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lopez Medical Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871521765
351 NW LE JEUNE RD SUITE 403
Miami, FL 33126
(305) 643-6447
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1053712

Lopez Medical Practice LLC · Miami, FL
Active · expires May 2, 2028
CLIA Number10D1053712
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorOlga E. Lopez
Laboratory Phone(305) 643-6447
Laboratory LocationLopez Medical Practice LLC351 NW 42nd Ave Ste 403, Miami, FL 33126
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lopez Medical Practice LLC's NPI number?

The NPI number for Lopez Medical Practice LLC is 1700083086. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Lopez Medical Practice LLC located?

Lopez Medical Practice LLC is located at 351 NW 42nd Ave Suite 403, Miami, FL 33126. The listed phone number is (305) 643-6447.

What is Lopez Medical Practice LLC's specialty?

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

Is Lopez Medical Practice LLC enrolled in Medicare?

Yes. Lopez Medical Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lopez Medical Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lopez Medical Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lopez Medical Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1053712) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lopez Medical Practice LLC accept?

Health plans from Molina Healthcare list Lopez Medical Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lopez Medical Practice LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.