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Individual

CARLOS L LOPEZ ASENCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BO DIEGO HERNAN DEZ CARR 128 KM 3 3, YAUCO, PR 00698
(787) 856-3037
(787) 856-3261
Mailing address
PO BOX 561840, GUAYANILLA, PR 00656-4280
(787) 856-3037
(787) 856-3261

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12639
PR

Other

Enumeration date
08/14/2006
Last updated
07/28/2022
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