# MLD PAIN MANAGEMENT INC.

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

## Provider details

- **NPI number:** 1952683815
- **Authorized official:** DR. MANUEL ENRIQUE LOPEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 998-0088

## Contact information

- **Practice address:** 66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO SUITE \#407, BAYAMON, PR 00961-7041
- **Practice address phone:** (787) 998-0088
- **Practice address fax:** (787) 998-0019
- **Mailing address:** PO BOX 1558, DORADO, PR 00646-1558
- **Mailing address fax:** (787) 998-0019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 15704 | PR | Yes |

## Other

- **Enumeration date:** 09/15/2011
- **Last updated:** 11/21/2011