Individual
DIEGO B LOPEZ-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 999-1035
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 999-1035
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24037
PR
2085R0202X
Diagnostic Radiology Physician
Primary
290600
MA
Other
Enumeration date
03/26/2019
Last updated
01/09/2025
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