# CDT DR LOPEZ ANTONGIORGI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CDT Dr. Jose Lopez Antongiorgi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881806248
- **Authorized official:** MRS. ANGELIZ RODRIGUEZ LIC (ADMINISTRATOR)
- **Authorized official phone:** (787) 480-5240

## Contact information

- **Practice address:** 333 CALLE 25 NE, PUERTO NUEVO, PR 00920-2531
- **Practice address phone:** (787) 793-8989
- **Practice address fax:** (787) 792-7355
- **Mailing address:** PO BOX 21405, SAN JUAN, PR 00928-1405
- **Mailing address phone:** (787) 480-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2007
- **Last updated:** 05/16/2023
