Individual
SAMMY TIRADO LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
151 CALLE TANCA, SAN JUAN, PR 00902
(787) 993-3885
Mailing address
CALLE EIDER 703, LOS ALMENDROS PLAZA TORRE II APT. 407, SAN JUAN, PR 00924
(787) 685-9015
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/04/2023
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