Active NPI
Geraldhine Vanessa Lopez, MD
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1699665208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42393
- Practice address
- 2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857 - Phone
- (941) 321-5904
- NPI assigned
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42393 | FL | Primary |
Addresses
Primary practice location
2780 Cleveland Ave Ste 709
Fort Myers, FL 33901-5857
Mailing address
12610 Equestrian Cir Apt 1603
Fort Myers, FL 33907-7565
Phone (207) 239-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42393 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1699665208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12610 EQUESTRIAN CIR APT 1603",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077565",
"telephone_number": "207-239-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 CLEVELAND AVE STE 709",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015857",
"telephone_number": "941-321-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "GERALDHINE",
"middle_name": "VANESSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "42393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.