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Individual

MRS. LUCELIX PILAR LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
30 CALLE PADIAL STE 240, PLAZA GATSBY, CAGUAS, PR 00725-3841
(787) 961-3636
Mailing address
4 CALLE CIELO MAR, URB PARAISO DE GURABO, GURABO, PR 00778-3739
(787) 961-3636

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1061
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038843300
PR
Enumeration date
06/05/2019
Last updated
04/24/2023
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