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Individual
DR. JUAN PABLO LOPEZ GONZALEZ
Active
Individual
DR. JUAN PABLO LOPEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16911
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16911
MEDICINE LICENSE
PR
Enumeration date
11/28/2007
Last updated
05/22/2020
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