Individual
MR. ALFREDO D LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPOA-0094
Contact information
Practice address
4X20 AVE CARLOS JAVIER ANDALUZ STE 4, BAYAMON, PR 00956-2984
(787) 998-8939
(787) 998-8944
Mailing address
4X20 AVE CARLOS JAVIER ANDALUZ STE 4, BAYAMON, PR 00956-2984
(787) 998-8939
(787) 998-8944
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
CPOA-0094
DE
222Z00000X
Orthotist
CPOA-0094
DE
224P00000X
Prosthetist
CPOA-0094
DE
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPOA-0094
DE
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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