Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mario J Lopez, MD

Individual provider Specialist · NPI 1710990882

Mario J Lopez, MD is a Cardiovascular Disease (Cardiology) in Port Charlotte, Florida. Qualified in 1981, 45 years ago. Practices with Charlotte Heart and Vascular Center PA, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
45
Licensed in
FL
In the registry since
2006
Specialties on file
3
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

1620 Tamiami Trl Ste 308
Port Charlotte, FL 33948-4017
Phone: (941) 246-2482
Fax: (941) 979-9074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME50048 (FL)
Specialist Taxonomy 174400000X · Licence MEOO50048 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME50048 (FL)

Record details

NPI number1710990882
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2006
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address1620 Tamiami Trail, Suite 308, Port Charlotte, FL 33948-4017

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Charlotte Heart And Vascular Center Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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