Individual
VIRGINIA PAGAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 457 KM 0.2, AIBONITO BELTRAN WARD, SAN SEBASTIAN, PR 00685
(787) 560-0507
Mailing address
HC 3 BOX 17005, QUEBRADILLAS, PR 00678-9822
(787) 560-0507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
528
PR
Other
Enumeration date
04/27/2018
Last updated
07/24/2019
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