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Individual

DR. CARLOS A LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
215 CALLE TOUS SOTO, URB. BALDRICH, SAN JUAN, PR 00918-4312
(787) 444-7910
Mailing address
215 CALLE TOUS SOTO, URB BALDRICH, SAN JUAN, PR 00918-4312
(787) 444-7910

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1895
PR
261QD0000X
Dental Clinic/Center
Primary
1895
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041451
DENTIST
PR
01
206104
DENTIST
PR
01
41707
DENTIST
PR
01
7290033
DENTIST
PR
01
N689
DENTIST
PR
Enumeration date
02/22/2007
Last updated
09/11/2025
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