Individual provider Active NPI

Andrea Natalia Diaz Lopez, DC

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1548073216
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15362 Issued in FL
Practice address
3429 W University Ave
Gainesville, FL 32607-2402
Phone
(352) 681-4081
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15362 FL Primary

Addresses

Primary practice location

3429 W University Ave
Gainesville, FL 32607-2402

Mailing address

1200 Floral Springs Blvd Unit 5102
Port Orange, FL 32129-6803
Phone (787) 616-2738

Other practice location 1

877 S Orange Blossom Trl
Apopka, FL 32703-6522
Phone (407) 889-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321000359 FL Practitioner - Chiropractic 4385166164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15362FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Medical Florida LLC Chiropractor CurrentSince Jan 24, 2025 Accepting new patients

Locations

877 S Orange Blossom Trl
Forest City, FL 32703
Phone (407) 889-3223

3429 W University Ave
Gainesville, FL 32607
Phone (352) 681-4081

426 SW Commerce Dr
Ste 101
Lake City, FL 32025
Phone (386) 755-2240

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1548073216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FLORAL SPRINGS BLVD UNIT 5102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296803",
            "telephone_number": "787-616-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 W UNIVERSITY AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072402",
            "telephone_number": "352-681-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 S Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327036522",
            "country_code": "US",
            "telephone_number": "407-889-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ LOPEZ",
        "first_name": "ANDREA",
        "middle_name": "NATALIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.