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Individual

DR. CARLOS ANDRES RIVERA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6535 N CHARLES ST STE 500, TOWSON, MD 21204-5832
(410) 825-5454
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
21803
PR
208800000X
Urology Physician
34167-R
PR
208800000X
Urology Physician
Primary
D0100270
MD
208800000X
Urology Physician
MD500003031
DC

Other

Enumeration date
09/02/2016
Last updated
04/28/2026
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