Individual
MR. JIMMY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ANTIGUO HOSPITAL DE DISTRITO, CARR 129 , 2DO PISO, ARECIBO, PR 00612
(787) 878-3552
(787) 879-8633
Mailing address
HC 5 BOX 29858, CAMUY, PR 00627-9875
(787) 820-6463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22340
PR
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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