Individual
DR. CARLOS A LOPEZ DE VICTORIA CABRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CONCEPCION STE 1, GUAYANILLA, PR 00656-1710
(787) 835-8237
(787) 835-8237
Mailing address
802 CALLE CAMPECHE, PONCE, PR 00717-1770
(787) 843-6174
(787) 843-6174
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11252
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119-11752
GLOBAL HEATH PLAN
PR
01
—
3202
PMC-MEDICARE
PR
05
—
84088LO
—
PR
Enumeration date
07/14/2006
Last updated
07/08/2007
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