# CENTRO OFTALMOLOGICO LOPEZ, PSC

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

## Provider details

- **NPI number:** 1679994321
- **Authorized official:** DR. RAUL ERLANDO LOPEZ JR. MD (PRESIDENT)
- **Authorized official phone:** (787) 882-0592

## Contact information

- **Practice address:** CARR 110 KM 0.3, SUITE 2, BO. CEIBA BAJA, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-0592
- **Mailing address:** PO BOX 250431, AGUADILLA, PR 00604-0431
- **Mailing address phone:** (787) 882-0592
- **Mailing address fax:** (787) 882-0562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 14569 | PR | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |

## Other

- **Enumeration date:** 12/26/2013
- **Last updated:** 07/01/2024