GEORGE LUIS LEONOR LOPEZ (M.D.) – Internal Medicine Physician, NPI 1790216539

GEORGE LUIS LEONOR LOPEZ (M.D.) is a healthcare provider. based in Maitland, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME143905 (FL). The NPI Number for GEORGE LUIS LEONOR LOPEZ (M.D.) is 1790216539

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE LUIS LEONOR LOPEZ (M.D.)
NPI
1790216539
Phone
(407) 915-5643
Address
PO BOX 940145
Enumeration Date
23 March 2017
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079155643
Graduation Year
2016 (10 years ago)
PAC ID
0648690750
Group Practice PAC ID
3274850375
Professional Enrollment ID
I20201012000671
Address ID
FL327014913AL251XXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for GEORGE LUIS LEONOR LOPEZ (M.D.)

  • PO BOX 940145

    MAITLAND, FL 327940145

    Phone: (407) 915-5643

    Type: Mailing

  • 251 MAITLAND AVE STE 116

    ALTAMONTE SPRINGS, FL 327014913

    Phone: (407) 915-5643

    Type: Location

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    CENTRAL 600-D

    MIAMI, FL 331361005

    Phone: (305) 585-5215

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $24,201.

Total Amount is formed as General ($24,201) + Research ($0) + Ownership ($0) = $24,201.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medtronic, Inc. ($15,974).

Total Amount

$24,201

General + Research + Ownership

Payments

152

Total payment records

General Amount

$24,201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2020-10-12

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
I20201012000671ICardiac ElectrophysiologyFLTBD

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 32794)

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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: 3274850375View full group profile
NameSpecialtyState
-FL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Interventional CardiologyFL
Physician AssistantFL
Nurse PractitionerFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for GEORGE LUIS LEONOR LOPEZ (M.D.)?
GEORGE LUIS LEONOR LOPEZ (M.D.) — NPI 1790216539 — is the standard way to identify this listing.
Does the file indicate GEORGE LUIS LEONOR LOPEZ (M.D.) is practicing under active NPI?
Directory data currently reports GEORGE LUIS LEONOR LOPEZ (M.D.) as active.
What is GEORGE LUIS LEONOR LOPEZ (M.D.)'s specialty?
The listing groups GEORGE LUIS LEONOR LOPEZ (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is GEORGE LUIS LEONOR LOPEZ (M.D.) based?
GEORGE LUIS LEONOR LOPEZ (M.D.) is tied to Maitland, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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