# JOSE J LOPEZ AGUDO OFTALMOLOGO CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144422858
- **Authorized official:** DR. JOSE LOPEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 632-7441

## Contact information

- **Practice address:** 5Z30 CALLE 5-20, URB. JARDINES MONTEBRISAS, FAJARDO, PR 00738-3911
- **Practice address phone:** (787) 648-8148
- **Practice address fax:** (787) 863-1230
- **Mailing address:** PO BOX 909, FAJARDO, PR 00738-0909
- **Mailing address phone:** (787) 648-8148
- **Mailing address fax:** (787) 863-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 11386 | PR | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 04/01/2013