Individual
DR. HECTOR LUIS LOPEZ-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 GARY HILL RD, EDGEFIELD, SC 29824-4503
(803) 637-1444
Mailing address
1092 HAMPSTEAD PL, MARTINEZ, GA 30907-6200
(787) 557-6225
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15129
PR
208D00000X
General Practice Physician
ACN 200
FL
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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