Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Lidya Margarita Lataban-Lopez, MD

Individual provider General Practice Physician · NPI 1275581829

Dr. Lidya Margarita Lataban-Lopez, MD is registered under General Practice in Palm Coast, Florida. Qualified in 1990, 36 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Puerto Rico.

Years since qualifying
36
Licensed in
FL, PR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 Cypress Point Pkwy Ste A
Palm Coast, FL 32164-7528
Phone: (386) 586-7005
Fax: (844) 867-3940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN911 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 15204 (PR)

Record details

NPI number1275581829
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients70
Services billed 289 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Adventhealth Home Health Home health agency · Ormond Beach, FL · listed as Adventhealth Home Health and Hospice Inc
  • Adventhealth Palm Coast Parkway Hospital · Palm Coast, FL
  • AdventHealth Palm Coast Hospital · Palm Coast, FL
  • Trilogy Home Healthcare Home health agency · Jacksonville, FL

Colleagues at Conviva Medical Center Management, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 562 clinicians in the practice; 12 are shown here.

Other providers in Palm Coast