Individual
JOSE C LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18TH ST #1019 VILLA NIVAREZ, SAN JUAN, PR 00927
(787) 292-1423
Mailing address
18TH ST #1019 VILLA NIVAREZ, SAN JUAN, PR 00927
(787) 292-1423
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10110
PR
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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