Individual
AUDAY LOPEZ CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
17 CALLE MARGINAL # C, BAYAMON, PR 00959-5552
(787) 780-1273
Mailing address
151 LINCOLN, JARDINES DE CASABLANCA, TOA ALTA, PR 00953
(787) 222-2305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
464-P.A.
PR
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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