Individual
DR. MARCOS OMAR LOPEZ FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
521 CALLE BARRANQUITAS, SAN JUAN, PR 00923-3328
(787) 616-7630
Mailing address
560 CALLE NAPOLES APT 16E, SAN JUAN, PR 00924-4078
(787) 616-7630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
823
PR
Other
Enumeration date
08/19/2024
Last updated
03/31/2025
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