Individual
DR. JOSE R LOPEZ DE VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PASEO SAN PABLO, DR. ARTURO CADILLA BUILDING SUITE 205, BAYAMON, PR 00961-7019
(787) 786-5151
(787) 786-5153
Mailing address
PO BOX 1048, BAYAMON, PR 00960-1048
(787) 786-5151
(787) 786-5153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7237
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98950
TRIPLE S PROVIDER NUMBER
PR
Enumeration date
08/20/2006
Last updated
06/24/2009
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