DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) – General Practice Physician, NPI 1275581829
General Practice Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,466 GENERAL PRACTICE in FL
Provider Addresses for DR. LIDYA MARGARITA LATABAN-LOPEZ (MD)
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Type: Mailing
20 CYPRESS POINT PKWY STE A
PALM COAST, FL 321647528
Phone: (386) 586-7005
Fax: (844) 867-3940
Type: Location
1302, River Street, Palatka, Putnam County, Florida, 32177, United States
PALATKA, FL 321775042
Phone: (386) 328-0108
Fax: (386) 325-1086
Type: Mailing
Elm Street, Welaka, Putnam County, Florida, 32193, United States
WELAKA, FL 321932125
Phone: (386) 467-3171
Fax: (386) 467-3174
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Dexcom, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $24 |
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: 2017-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040617000683 | I | General Practice | PR | TBD |
| I20170525002471 | I | General Practice | FL | TBD |
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.
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 33126)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL |
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