Individual
JOSE AUGUSTO LOPEZ SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE ARIZMENDI #170, #170, RIO PIEDRAS, PR 00925
(787) 754-7133
(787) 754-7133
Mailing address
PO BOX 29568 65TH INFANTRY STATION, SAN JUAN, PR 00929
(787) 754-7133
(787) 754-7133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15153
PR
Other
Enumeration date
04/27/2006
Last updated
10/04/2012
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