Individual
MARIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
COMUNIDAD PARQUE ESCORIAL BO SAN ANTON, CARR 3 AVE 65 DE INFANTERIA INTER CARR 887, CAROLINA, PR 00630
(787) 757-6850
Mailing address
429 COND MONTE NORTE, SAN JUAN, PR 00918
(787) 371-2629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1164
PR
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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