Individual
DR. JOSE MIGUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
CARRETERA 183 KM 5.0 TOMAS DE CASTRO 2, CAGUAS, PR 00725
(787) 320-0040
Mailing address
HC 03 BOX 41425, CAGUAS, PR 00725
(787) 320-0040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000742-P.A
PR
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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