Individual
DR. LIDYA MARGARITA LATABAN-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 CYPRESS POINT PKWY STE A, PALM COAST, FL 32164-7528
(386) 586-7005
(844) 867-3940
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
15204
PR
208D00000X
General Practice Physician
Primary
ACN911
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22385
TRIPLE S DE PUERTO RICO
PR
01
—
9700031
HUMANA
PR
01
—
ACN911
FLORIDA LICENSE
FL
01
—
B159
FIRST MEDICAL
PR
Enumeration date
05/05/2006
Last updated
02/17/2026
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