Individual
JOSE E MARIN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 AVE PONCE DE LEON, STE 302, SAN JUAN, PR 00907-4026
(787) 977-4810
(787) 977-4813
Mailing address
1431 AVE PONCE DE LEON, STE 302, SAN JUAN, PR 00907-4026
(787) 977-4810
(787) 977-4813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12256
PR
Other
Enumeration date
11/02/2005
Last updated
01/12/2011
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