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DR. WANDA Y GOMEZ LOPEZ M.D.
NPI 1215030630
General Practice in Kissimmee, FL

Active since September 07, 2006PECOS Enrolled
910 W VINE ST, KISSIMMEE, FL 34741(407) 517-9582(407) 978-6644 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wanda Y Gomez Lopez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WANDA Y GOMEZ LOPEZ M.D. (NPI 1215030630) is an individual general practice provider in Kissimmee, Florida, licensed in Florida (ACN1011) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215030630
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. WANDA Y GOMEZ LOPEZCredential: M.D.
Location Address910 W VINE STKissimmee, FL 34741-4165
Mailing Address121 S Orange Ave Ste 940Orlando, FL 32801-3234 · (407) 658-9687 · Fax (407) 286-4515
Phone(407) 517-9582
Fax(407) 978-6644
Sole ProprietorYes
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1215030630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1011
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
910 W VINE ST, Kissimmee, FL 34741
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Other Names 1

Other Name (5)Dr. Wanda Y Gomez Lopez M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wanda Y Gomez Lopez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAACK BAHIA
Audiologist-Hearing Aid Fitter
910 W VINE ST
KISSIMMEE, FL 34741
Osceola County (407) 908-7069
DR. JOSE OTERO-BERMUDEZ MD
General Practice
910 W VINE ST
KISSIMMEE, FL 34741
Osceola County (407) 956-1920
ALBA SUSANA SEVERINO ARNP
Nurse Practitioner (Family)
910 W VINE ST
KISSIMMEE, FL 34741
Osceola County (407) 517-9582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Gomez Lopez's NPI number?

The NPI number for Wanda Gomez Lopez is 1215030630. It was assigned to this individual provider in the NPPES registry on September 7, 2006. The provider is also known as Dr. Wanda Y Gomez Lopez M.D..

Where is Wanda Gomez Lopez located?

Wanda Gomez Lopez practices at 910 W Vine St, Kissimmee, FL 34741. The listed phone number is (407) 517-9582.

What is Wanda Gomez Lopez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wanda Gomez Lopez enrolled in Medicare?

Yes. Wanda Gomez Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wanda Gomez Lopez was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.