Organization Active NPI

Carlos Lopez M.D P.a

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1548290703
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
416402 Issued in FL
Legal business name
CARLOS LOPEZ M.D P.A
Practice address
1133 SE 18TH PL
Suite #2
Ocala, FL 34471-5410
Phone
(352) 861-5765
Fax
(352) 867-1801
NPI assigned
Jul 4, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Carlos Lopez, M.DNPI 1669404893
Title
Ceo
Phone
(352) 861-5765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 416402 FL Primary
Internal Medicine Physician 207R00000X ME55323 FL

Addresses

Primary practice location

1133 SE 18TH PL
Suite #2
Ocala, FL 34471-5410

Mailing address

1133 SE 18TH PL
Suite #2
Ocala, FL 34471-5410
Phone (352) 861-5765

National Provider Directory

National Provider Directory

Locations

1133 SE 18th Pl
Ste 2
Ocala, FL 34471
Phone (352) 861-5765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548290703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL",
            "address_2": "SUITE #2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715410",
            "telephone_number": "352-861-5765",
            "fax_number": "352-867-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SE 18TH PL",
            "address_2": "SUITE #2",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715410",
            "telephone_number": "352-861-5765",
            "fax_number": "352-867-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS LOPEZ M.D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-861-5765",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "416402",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.