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ANTONIO ISIDRO LOPEZ MD
NPI 1215722368
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 10, 2025PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-5159 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2025, Apr 10, 2025 (2 updates tracked since 2025).

About Antonio Isidro Lopez Md NPPES

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

ANTONIO ISIDRO LOPEZ MD (NPI 1215722368) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215722368
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTONIO ISIDRO LOPEZCredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address1600 Sw Archer RdGainesville, FL 32610-3003 · (352) 273-5159
Phone(352) 273-5159
Sole ProprietorNo
Enumeration DateApril 10, 2025
Last NPPES UpdateMay 26, 20252 updates tracked since enumeration
NPPES CertifiedMay 26, 2025
✔ NPI 1215722368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonio Isidro Lopez Md 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 20

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

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Antonio Lopez's NPI number?

The NPI number for Antonio Lopez is 1215722368. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Antonio Lopez located?

Antonio Lopez practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-5159.

What is Antonio Lopez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Antonio Lopez enrolled in Medicare?

Yes. Antonio Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Lopez was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.