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Deactivated NPI 1184739815 Deactivated / Inactive NPI Male Practitioner

Dr. Raul I Lopez , MD

Specialist • Miami, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Raul Lopez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2006
NPI Deactivation Date October 09, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Raul Lopez, MD was a registered Specialist practicing in Miami, FL. Throughout an active medical career spanning 12 years, Dr. Lopez provided care at the practice location at 3661 S MIAMI AVE until profile deactivation on 2018-10-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3661 S Miami Ave
Suite 209

Miami, FL 331334236

Telephone 3058568115
Fax 3058544028
Associated Practice Facility / Clinic
🏢 Neuro Diagnosis Inc. Facility NPI 1215966940

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
253 Specialists

Practicing in Miami, FL (3036 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
102 82 $200.00 $111.28
99213 Established patient office or other outpatient visit, typically 15 minutes
34 28 $150.00 $75.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $400.00 $173.83

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rosendo Galban , CSA

Community Health Worker

NPI 1003223405
NPI 1013020585

Doctor of Medicine (M.D.)

Ana Martinez Fuentes , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023055407

Certified Registered Nurse Anesthetist

J Bolt

Nurse Anesthetist, Certified Registered

NPI 1033540588
NPI 1053337733

Doctor of Medicine (M.D.)

Dr. Hernan Baquerizo , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1053378893

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 09, 2018

Record deactivated on October 09, 2018

NPI Profile Active February 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2010

Registered at 3661 S MIAMI AVE, SUITE 209, MIAMI, FL 331334236 (Tel: 3058568115)

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Updated Business Mailing Address February 15, 2010

Registered at 3661 S MIAMI AVE, SUITE 209, MIAMI, FL 331334236 (Tel: 3058568115)

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Provider Name / Credentials Updated February 15, 2010

Recorded as RAUL LOPEZ, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2010

Specialist

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Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184739815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: February 15, 2010
Deactivation Date: October 09, 2018

Mailing Address

3661 S Miami Ave, Suite 209

Miami, FL 331334236

Phone: 3058568115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.