Organization
SALUD INTEGRAL DE PR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DARRELL LOPEZ (PRESIDENT)
(787) 413-7858
Entity
Organization
Contact information
Practice address
951 AVE AMERICO MIRANDA, URB REPARTO METROPOLITANO, SAN JUAN, PR 00921
(787) 413-7858
Mailing address
42777 CARR 482, QUEBRADILLAS, PR 00678-9499
(787) 413-7858
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
PR
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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