Marisa Lopez, MD
Marisa Lopez, MD is a Neurology Physician in Fort Lauderdale, FL, registered under NPI 1770538605. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1330 SE 4TH AVE STE J, Fort Lauderdale, FL 33316. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME90785 | FL | Neurology Physician primary |
This provider holds licence ME90785 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Neurology
- PAC ID
- 8527035120
Enrolled in Medicare 14 times, across 14 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Florida | I20040914000143 | Practitioner - Neurology |
| New Mexico | I20250326001071 | Practitioner - Neurology |
| Massachusetts | I20250326001480 | Practitioner - Neurology |
| Rhode Island | I20250326002494 | Practitioner - Neurology |
| Vermont | I20250326003065 | Practitioner - Neurology |
| Maine | I20250327000446 | Practitioner - Neurology |
| New Hampshire | I20250327000946 | Practitioner - Neurology |
| Ohio | I20250327002331 | Practitioner - Neurology |
| Georgia | I20250328002656 | Practitioner - Neurology |
| Tennessee | I20250401001250 | Practitioner - Neurology |
| Missouri | I20250402001401 | Practitioner - Neurology |
| Michigan | I20250414001414 | Practitioner - Neurology |
| Virginia | I20250424000302 | Practitioner - Neurology |
| New York | I20250502000059 | Practitioner - Neurology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Neurology. There are 14 separate enrolment records across 14 states (FL, NM, MA, RI, VT, ME, NH, OH, GA, TN, MO, MI, VA, NY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neurology covers
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NUCC Health Care Provider Taxonomy, code 2084N0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 174400000X | Specialist | — | — | |
| 2084N0400X | Neurology Physician Neurology | ME90785 | FL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1770538605 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 22, 2006 |
| Last updated | Dec 18, 2019 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | MD |
| Practice address |
1330 SE 4TH AVE STE J Fort Lauderdale, FL 33316 (954) 620-3307 |
| Mailing address |
9960 NW 116TH WAY STE 13 Medley, FL 33178 |
| Other names |
Marisa Prego Lopez Doing Business As |
| Other identifiers |
269970200
· Medicaid (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 5 | 3 | 8 | 6 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 1 | 3 | 7 | 6 | 0 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.