Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Camilo E Lopez, PA

Individual provider Physician Assistant · NPI 1043253479

Camilo E Lopez, PA is a Physician Assistant in Miami, Florida. Qualified in 1985, 41 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
41
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10445 SW 128th Ter
Miami, FL 33176-5540
Phone: (786) 290-3211
Fax: (305) 259-1931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9100817 (FL)

Record details

NPI number1043253479
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESApril 6, 2016
Mailing address10445 Sw 128th Ter, Miami, FL 33176-5540

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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