Individual
DR. VIRGILIO IGNACIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
Mailing address
PO BOX 11258, TAMUNING, GU 96931-1258
(671) 688-8181
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
9341
NV
207L00000X
Anesthesiology Physician
Primary
M-1774
GU
Other
Enumeration date
09/20/2006
Last updated
06/21/2016
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