Individual
CARLOS EUGENIO LOPEZ ALMODOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
#1051 CALLE 3 SE LA RIVIERA, COND MEDICAL CENTER PLAZA SUITE #13, SAN JUAN, PR 00921
(787) 749-9200
(787) 790-1021
Mailing address
PO BOX 363095, SAN JUAN, PR 00936-3095
(787) 749-9200
(787) 790-1021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3198
PR
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
3198
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7910084
HUMANA INS
PR
01
—
94756
TRIPLE S
PR
Enumeration date
11/25/2005
Last updated
03/05/2009
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