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Individual

SARA A LOPEZ TORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
400 AVE FD ROOSEVELT, OF. 107, SAN JUAN, PR 00918-2103
(787) 753-2626
Mailing address
400 AVE FD ROOSEVELT, OF. 107, SAN JUAN, PR 00918-2103
(787) 753-2626

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0034
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
073017
PROVIDER NUMBER
PR
01
50542
PROVIDER NUMBER
PR
01
9660002
PROVIDER NUMBER
PR
Enumeration date
07/12/2006
Last updated
03/25/2011
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