Individual
SANDRA C. GRACIA-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
AVE. JOSE VAZQUEZ ESQ. DR. TROYER, NUCLEAR MEDICINE, MENNONITE GENERAL HOSPITAL, AIBONITO, PR 00705-1379
(787) 735-8001
(787) 292-7976
Mailing address
URB. PASEO DE LA FUENTE, D-4 CALLE TIVOLI, SAN JUAN, PR 00926-6459
(787) 641-7582
(787) 292-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7213
PR
207U00000X
Nuclear Medicine Physician
Primary
7213
PR
Other
Enumeration date
04/25/2006
Last updated
08/02/2007
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