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Individual
DR. TEODORO LOPEZ RIVERA
Active
Individual
DR. TEODORO LOPEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., MSCD.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
728
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040471
CRUZ AZUL
PR
01
—
237025
UTI
PR
01
—
40719
SEGUROS SERVICIOS SALUD
PR
01
—
4722
INTERNATIONAL MEDICAL CAR
PR
01
—
7310173
HUMANA
PR
Enumeration date
06/27/2005
Last updated
06/27/2016
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