Individual provider Active NPI

Emmanuel Alejandro Garcia Lopez, M.D.

  • General Practice Physician
  • Naples, FL
National Provider Identifier
1841725389
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME142662 Issued in FL
Practice address
2460 Vanderbilt Beach Rd Ste 406
Naples, FL 34109-2656
Phone
(239) 317-1305
NPI assigned
Apr 21, 2017
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME142662 FL Primary

Addresses

Primary practice location

2460 Vanderbilt Beach Rd Ste 406
Naples, FL 34109-2656

Mailing address

2460 Vanderbilt Beach Rd Ste 406
Naples, FL 34109-2656

Other practice location 1

4980 Tamiami Trl N Ste 102
Naples, FL 34103-2849
Phone (239) 649-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530003364 FL Practitioner - General Practice 7719344134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

2460 Vanderbilt Beach Rd
Suite 406
Naples, FL 34109-2656
Phone (239) 317-1305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME142662FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC CurrentSince Jun 12, 2023 Accepting new patients
Roy H Hinman MD PA CurrentSince Jun 12, 2023 Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

2354 Surfside Blvd
Cape Coral, FL 33991

2354 Surfside Blvd
Ste D103
Cape Coral, FL 33991
Phone (239) 317-7131

811 N Summit St
Crescent City, FL 32112
Phone (386) 698-2101

2460 Vanderbilt Beach Rd
Ste 406
Naples, FL 34109
Phone (239) 317-1305

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1841725389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 VANDERBILT BEACH RD STE 406",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 VANDERBILT BEACH RD STE 406",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092656",
            "telephone_number": "239-317-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4980 Tamiami Trl N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341032849",
            "country_code": "US",
            "telephone_number": "239-649-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA LOPEZ",
        "first_name": "EMMANUEL",
        "middle_name": "ALEJANDRO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME142662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.