DR. JUAN PABLO LOPEZ GONZALEZ (MD) – General Practice Physician, NPI 1225210685

DR. JUAN PABLO LOPEZ GONZALEZ (MD) is a healthcare provider. based in Ridge manor, Florida. specializing in General Practice Physician. They hold the professional credentials MD. They hold a License No. 16911 (PR). The NPI Number for DR. JUAN PABLO LOPEZ GONZALEZ (MD) is 1225210685

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN PABLO LOPEZ GONZALEZ (MD)
NPI
1225210685
Phone
(352) 583-4520
Address
34490 CORTEZ BLVD
Enumeration Date
28 November 2007
Last Update Date
22 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525681988
Graduation Year
1999 (27 years ago)
PAC ID
0749365716
Group Practice PAC ID
8426966854
Professional Enrollment ID
I20190829001456
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JUAN PABLO LOPEZ GONZALEZ (MD)

  • 34490, Cortez Boulevard, Ridge Manor, Brooksville, Hernando County, Florida, 33523, United States

    RIDGE MANOR, FL 335238908

    Phone: (352) 583-4520

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Amgen Inc. ($30).

Total Amount

$138

General + Research + Ownership

Payments

8

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190829001456IGeneral PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33523)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426966854View full group profile
NameSpecialtyState
General PracticePR
Internal MedicineFL
Nurse PractitionerTX
Internal MedicineFL

Reviews

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Frequently asked questions

Is DR. JUAN PABLO LOPEZ GONZALEZ (MD) listed with a National Provider Identifier?
Yes — DR. JUAN PABLO LOPEZ GONZALEZ (MD) has NPI 1225210685 on file in the registry.
Is DR. JUAN PABLO LOPEZ GONZALEZ (MD) shown as active in public data?
Registry records indicate DR. JUAN PABLO LOPEZ GONZALEZ (MD) maintains an active NPI.
What clinical focus is listed for DR. JUAN PABLO LOPEZ GONZALEZ (MD)?
At a glance, DR. JUAN PABLO LOPEZ GONZALEZ (MD) is tied to General Practice Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JUAN PABLO LOPEZ GONZALEZ (MD)?
Travel planning: use Ridge Manor, Florida as the reference point for DR. JUAN PABLO LOPEZ GONZALEZ (MD), then confirm.
When was this NPI issued?
Enumeration for DR. JUAN PABLO LOPEZ GONZALEZ (MD) is noted as November 28, 2007 where the registry provides it.

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