Individual
DR. LUIS EMILIO LOPEZ LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 SANDERSON RD, SMITHFIELD, RI 02917-2602
(401) 349-5255
(401) 349-2408
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CMD19061
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2020
Last updated
01/23/2024
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