Individual
JORGE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AVE. LUIS MUNOZ MARIN, X-14 MARIOLGA, CAGUAS, PR 00725
(787) 743-2067
(787) 743-2067
Mailing address
E20 CALLE TABONUCO, ARBOLADA, CAGUAS, PR 00727-1306
(939) 397-2065
(787) 743-2067
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14939
PR
Other
Enumeration date
11/03/2006
Last updated
07/09/2007
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