Organization
PDC SERV PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE J LOPEZ BURREZO MD (PRESIDENT)
(787) 519-0812
Entity
Organization
Contact information
Practice address
355 AVE FONT MARTELO, HUMACAO, PR 00791-3249
(787) 519-0812
Mailing address
355 CALLE WEST ROSE, CAROLINA, PR 00987-2223
(787) 519-0812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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