Individual
CARMEN T LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
MONTECILLO II BLDG. APT. 2703, ENCANTADA, TRUJILLO ALTO, PR 00976
(787) 755-7909
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
00959
PR
363LP2300X
Primary Care Nurse Practitioner
00959
PR
Other
Enumeration date
09/05/2006
Last updated
03/22/2017
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