Individual
BENIGNO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EDIF. HIMA SAN PABLO CIRUGIA AMBULATORIA, CALLE MUNOZ RIVERA NUM. 1 FINAL OFIC. 203, CAGUAS, PR 00726
(787) 744-4654
(787) 743-4959
Mailing address
PO BOX 760, CAGUAS, PR 00726
(787) 744-4654
(787) 743-4959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4588
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066990
CRUZ AZUL
PR
01
—
26519LO
TRIPLE-S
PR
01
—
602075
MEDICARE Y MUCHO MAS
PR
01
—
61101
61101
PR
01
—
7250070
HUMANA
PR
Enumeration date
10/17/2006
Last updated
07/09/2007
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