Individual provider Active NPI

Beatriz Valeria Lopez Gonzalez

  • Surgical Physician Assistant
  • Celebration, FL
National Provider Identifier
1609722180
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9121734 Issued in FL
Practice address
410 Celebration PL Ste 302
Celebration, FL 34747-5435
Phone
(407) 303-4190
Fax
(407) 303-4192
NPI assigned
Mar 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9121734 FL
Surgical Physician Assistant 363AS0400X 9121734 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 302
Celebration, FL 34747-5435

Mailing address

410 Celebration PL Ste 302
Celebration, FL 34747-5435
Phone (407) 303-4190

Other practice location 1

9801 Belvedere Rd
Royal Palm Beach, FL 33411-3640
Phone (561) 273-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

900 Hope Way
Altamonte Springs, FL 32714-1502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9121734FLMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1609722180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 302",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475435",
            "telephone_number": "407-303-4190",
            "fax_number": "407-303-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 302",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475435",
            "telephone_number": "407-303-4190",
            "fax_number": "407-303-4192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9801 Belvedere Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334113640",
            "country_code": "US",
            "telephone_number": "561-273-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ GONZALEZ",
        "first_name": "BEATRIZ",
        "middle_name": "VALERIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121734",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9121734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.