Individual
IRENE IDALIZA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR 419 KM 9.8, AGUADA, PR 00605
(939) 349-7411
Mailing address
CARR 419 KM 9.8, AGUADA, PR 00605
(939) 349-7411
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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