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

Lidice Lopez, PA

Individual provider Physician Assistant · NPI 1629231980

Lidice Lopez, PA is a Physician Assistant in Miami, Florida. Qualified in 2007, 19 years ago. Practices with Dermatology Group of Florida, PA, a 54-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2008
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

1400 NW 12th Ave Ste 104
Miami, FL 33136-1003
Phone: (305) 545-6685
Fax: (305) 565-6687
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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 PA9104530 (FL)

Record details

NPI number1629231980
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESSeptember 11, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dermatology Group Of Florida, P.A. — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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