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Individual

NICOLAS LOPEZ DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
URB. LA ARBOLEDA 349 CALLE 15, SALINAS, PR 00751
(787) 448-0911
(787) 824-7738
Mailing address
400 AVE. PENSILVANNIA APARTADO # 406, SALINAS, PR 00751
(787) 448-0911
(787) 824-7738

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
2003476
PR
3416L0300X
Land Ambulance
Primary
TCAMB457
PR

Other

Enumeration date
06/12/2007
Last updated
06/20/2008
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