JONATHAN LOPEZ
NPI 1790313062
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 31, 2020PECOS Enrolled
1600 SW ARCHER RD STE 4102, GAINESVILLE, FL 32610(352) 265-0239(352) 265-1107 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Lopez NPPES

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

JONATHAN LOPEZ (NPI 1790313062) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790313062
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN LOPEZ
Location Address1600 SW ARCHER RD STE 4102Gainesville, FL 32610-3003
Mailing AddressPo Box 100265Gainesville, FL 32610-0265 · (352) 265-0239 · Fax (352) 265-1107
Fax(352) 265-1107
Sole ProprietorNo
Enumeration DateMarch 31, 2020
NPPES CertifiedMarch 31, 2020
NPI 1790313062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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 STE 4102, Gainesville, FL 32610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jonathan Lopez 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.

Internal Medicine
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Internal Medicine
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Radiology (Radiation Oncology)
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Physician Assistant
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610

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 Jonathan Lopez's NPI number?

The NPI number for Jonathan Lopez is 1790313062. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Jonathan Lopez located?

Jonathan Lopez practices at 1600 SW Archer Rd Ste 4102, Gainesville, FL 32610. The listed phone number is (352) 265-0239.

What is Jonathan 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 Jonathan Lopez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jonathan Lopez was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.