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Individual

PEDRO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1043 CALLE ANTILLAS, HACIENDA SAN JOSE, CAGUAS, PR 00727
(787) 502-3243
Mailing address
1043 CALLE ANTILLAS, HACIENDA SAN JOSE, CAGUAS, PR 00727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23-820
PR

Other

Enumeration date
02/19/2019
Last updated
10/05/2024
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