Individual
DR. JAIME PEDRO LOPEZ-REVEROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
INST SAN PABLO SANTA CRUZ ST.#66, SUITE 306, BAYAMON, PR 00961-7041
(787) 786-2690
(787) 787-5413
Mailing address
INST SAN PABLO, SUITE 306, BAYAMON, PR 00961-7041
(787) 786-2690
(787) 787-5413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6830
PR
Other
Enumeration date
08/03/2005
Last updated
12/15/2008
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