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Individual

KENNICE M LOPEZ-IRIZARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2003 AVE BORINQUEN, SAN JUAN, PR 00915-3814
(787) 268-4171
Mailing address
RR 3 BOX 53099, TOA ALTA, PR 00953-6502
(787) 200-5739

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15487
PR

Other

Enumeration date
05/11/2006
Last updated
10/07/2016
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