DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) – General Practice Physician, NPI 1275581829

DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) is a healthcare provider. based in Miami, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. 15204 (PR). The NPI Number for DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) is 1275581829

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. LIDYA MARGARITA LATABAN-LOPEZ (MD)
NPI
1275581829
Phone
(305) 500-2000
Address
6101 BLUE LAGOON DR STE 200
Enumeration Date
5 May 2006
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864283241
Graduation Year
1990 (36 years ago)
PAC ID
4183608904
Group Practice PAC ID
4284717422
Professional Enrollment ID
I20170525002471
Address ID
FL321680000NE1914XSRXX201
Telehealth
Yes

Contacts

Secure Messaging
lidya.lataban.lopez.1@29601.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

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

CompanyAmount
Dexcom, Inc.$24
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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040617000683IGeneral PracticePRTBD
I20170525002471IGeneral 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 33126)

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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: 4284717422View full group profile
NameSpecialtyState
Family Practice, Internal MedicineFL
Physician AssistantFL
-FL
-FL
Internal MedicineFL
Nurse PractitionerFL
-FL
Family PracticeFL
General PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LIDYA MARGARITA LATABAN-LOPEZ (MD)'s NPI?
Yes. DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) is listed with NPI 1275581829 in the public NPI dataset.
Does CMS list DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) as active?
Yes — DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) is active in the NPI listing used on this page.
What is DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) best known for clinically?
Directory data describes DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) with General Practice Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) on a map?
Expect Miami, Florida as a primary anchor for DR. LIDYA MARGARITA LATABAN-LOPEZ (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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