Individual
DR. LOURDES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
SAN RAFAEL MEDICAL PAVILION, SUITE 10, SAN JUAN, PR 00909
(787) 725-4284
Mailing address
MAR DE ISLA VERDE, 9-Q, CAROLINA, PR 00979
(787) 725-4284
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9641
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001
CRUZ AZUL
PR
01
—
203420
PREFERED HEALTH
PR
01
—
499641
UIA
PR
01
—
6172
FIRST MEDICAL
PR
01
—
9090009
HUMANA
PR
01
—
TRIPLE S
81974
PR
Enumeration date
08/16/2006
Last updated
07/08/2007
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