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Individual
MR. JOSE LUIS LOPEZ-LOPEZ
Active
Individual
MR. JOSE LUIS LOPEZ-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2245
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042064
CRUZ AZUL
—
01
—
3107
INTERNATIONAL MED CARD
—
01
—
3513653
ACAA
—
01
—
42437LO
TRIPLE S
—
01
—
6690039
HUMANA
—
01
—
70163
PREFERRED MEDICARE CHOICE
—
Enumeration date
06/07/2006
Last updated
07/13/2026
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