Individual
DR. MAYRA A COLON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
320 CALLE GAUTIER BENITEZ STE 22, CAGUAS, PR 00725-7204
(787) 745-6220
Mailing address
PO BOX 6400 PMB 123, CAYEY, PR 00737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3440
PR
Other
Enumeration date
06/19/2020
Last updated
01/07/2024
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