1. Home
  2. Directory
  3. Florida
  4. Davenport
  5. General Practice
  6. NPI Profile

DR. WILCANOR LOPEZ MD
NPI 1457098253
General Practice in Davenport, FL

Active since May 13, 2022PECOS EnrolledAccepts Medicare Assignment
2330 NORTH BLVD W, DAVENPORT, FL 33837(407) 931-0444(407) 962-4446 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Feb 28, 2025, Nov 4, 2024 and 5 more (8 updates tracked since 2022).

About Dr. Wilcanor Lopez Md NPPES

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

DR. WILCANOR LOPEZ MD (NPI 1457098253) is an individual general practice provider in Davenport, Florida, licensed in Puerto Rico (ACN1663) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457098253
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. WILCANOR LOPEZCredential: MD
Location Address2330 NORTH BLVD WDavenport, FL 33837-8989
Mailing Address931 W Oak St Ste 103Kissimmee, FL 34741-4973 · (407) 931-0444 · Fax (407) 962-4446
Phone(407) 931-0444
Fax(407) 962-4446
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 13, 2022
Last NPPES UpdateMarch 7, 20258 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1457098253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · ACN1663
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
2330 NORTH BLVD W, Davenport, FL 33837
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1931 W Oak St Ste 103Kissimmee, FL 34741-4973 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 26210 W Colonial Dr Ste 100Orlando, FL 32808-7504 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 35425 S Semoran BlvdOrlando, FL 32822-1748 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 43130 Citrus Tower BlvdClermont, FL 34711-6801 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 55249 Conway RdOrlando, FL 32812-2202 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 62685 SW 32nd Pl Ste 100Ocala, FL 34471-7863 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 71115 N John Young PkwyKissimmee, FL 34741-4209 · Phone (407) 931-0444 · Fax (407) 962-4446
Location 8900 Towne Center DrKissimmee, FL 34759-3470 · Phone (407) 931-0444 · Fax (407) 962-4446

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wilcanor Lopez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840739744
PECOS Enrollment IDI20250307000284
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.

MRS. TATIANA JANETH SANCHEZ FNP-C
Nurse Practitioner (Family)
2330 NORTH BLVD W
DAVENPORT, FL 33837
Polk County (407) 931-0444
MR. JOSE LUIS LIZARDI PA-C
Physician Assistant (Medical)
2330 NORTH BLVD W
DAVENPORT, FL 33837
Polk County (407) 931-0444
MRS. MINELY MARTINEZ VELAZQUEZ MD
General Practice
2330 NORTH BLVD W
DAVENPORT, FL 33837
Polk County (407) 931-0444

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 Wilcanor Lopez's NPI number?

The NPI number for Wilcanor Lopez is 1457098253. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Where is Wilcanor Lopez located?

Wilcanor Lopez practices at 2330 North Blvd W, Davenport, FL 33837. The listed phone number is (407) 931-0444.

What is Wilcanor Lopez's specialty?

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

Is Wilcanor Lopez enrolled in Medicare?

Yes. Wilcanor Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Wilcanor Lopez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Wilcanor Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilcanor Lopez was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.