Individual
MADELYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
431 AVE HOSTOS, URB. EL VEDADO, SAN JUAN, PR 00918-3014
(787) 753-9515
Mailing address
PO BOX 20000, SUITE 270, CANOVANAS, PR 00729-0042
(787) 564-5384
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12264
PR
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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