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Individual

DERIC ALEJANDRO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CARRETERA # 2 KM 47.7, MANATI, PR 00674
(787) 854-3322
Mailing address
PO BOX 30532, MANATI, PR 00674-8513
(787) 854-3322

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
19986
PR

Other

Enumeration date
08/21/2013
Last updated
08/05/2019
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