Individual
MARCOS M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
66 CALLE GEORGETTI, SAN JUAN, PR 00925-3607
(787) 528-5605
Mailing address
68 CALLE GEORGETTI, SAN JUAN, PR 00925-3607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3896
PR
Other
Enumeration date
02/17/2011
Last updated
01/31/2012
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