| Dr Lidya Margarita Lataban-lopez, MD | |
|
20 Cypress Point Pkwy Ste A, Palm Coast, FL 32164-7528 | |
| (386) 586-7005 | |
| (844) 867-3940 |
| Full Name | Dr Lidya Margarita Lataban-lopez |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 20 Cypress Point Pkwy Ste A, Palm Coast, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275581829 | NPI | - | NPPES |
| ACN911 | Other | FL | FLORIDA LICENSE |
| B159 | Other | PR | FIRST MEDICAL |
| 22385 | Other | PR | TRIPLE S DE PUERTO RICO |
| 9700031 | Other | PR | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 15204 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | ACN911 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lidya Margarita Lataban-lopez, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Lidya Margarita Lataban-lopez, MD 20 Cypress Point Pkwy Ste A, Palm Coast, FL 32164-7528 Ph: (386) 586-7005 |
Dr. Rommelle Von Such, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1 Florida Park Dr N, Suite 109-110, Palm Coast, FL 32137 Phone: 386-445-3619 Fax: 386-445-6925 | |
Dr. Alexandra Marion Pamela Kostick, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3 Pine Cone Dr, Suite 104, Palm Coast, FL 32137 Phone: 386-446-9590 Fax: 386-446-2245 | |
Dr. Canice Chukwuocha, MD General Practice Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 | |
Dr. Khaled Ibrahim, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 | |
Dr. Alex Ramon Taveras-cruz, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 Fax: 386-446-5077 |