Individual
MRS. CARMEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
ST.528 BLQ.197#3 VILLA CAROLINA, CAROLINA, PR 00985
(787) 752-0116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1126
PR
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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