Individual provider Active NPI

Angel Alexis Lopez Escalante, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1952081390
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1732 Issued in FL
Practice address
1303 S Semoran Blvd
Orlando, FL 32807-2915
Phone
(407) 966-1955
Fax
(407) 550-1955
NPI assigned
Jul 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1732 FL Primary
General Practice Physician 208D00000X 23336 PR

Addresses

Primary practice location

1303 S Semoran Blvd
Orlando, FL 32807-2915

Mailing address

1303 S Semoran Blvd
Orlando, FL 32807-2915
Phone (407) 966-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240130001992 PR Practitioner - General Practice 7618320243 Reassigns benefits to 1 organization
Practice locations: Salinas, PR
I20250909002243 FL Practitioner - Internal Medicine 7618320243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3109 W Dr Martin Luther King Jr Blvd
Suite 121
Tampa, FL 33607-6240

7100 Pines Blvd
Suite 22
Pembroke Pines, FL 33024-7394

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23336PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sur-Med Medical Corp. CurrentSince Dec 23, 2023 Accepting new patients
Sur-Med Medical Corp CurrentSince Dec 23, 2023 Accepting new patients
Humanitary Medical Center Semoran, Inc CurrentSince Jul 16, 2025 Accepting new patients
Humanitary Medical Center, Inc. General Practice Past Accepting new patients

Locations

1303 S Semoran Blvd
Orlando, FL 32807
Phone (407) 380-6361

3109 W Mlk Blvd
Ste 121
Tampa, FL 33607

8 Calle Colon Pacheco
Salinas, PR 00751
Phone (787) 824-1100

Organizations & group practices 4

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952081390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328072915",
            "telephone_number": "407-966-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328072915",
            "telephone_number": "407-966-1955",
            "fax_number": "407-550-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ESCALANTE",
        "first_name": "ANGEL",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1732",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.