Individual
GRACE M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE SANTA TERESA 7, ARECIBO, ARECIBO, PR 00612
(787) 438-5140
(787) 881-7733
Mailing address
PO BOX 140313, ARECIBO, ARECIBO, PR 00614-0313
(787) 438-5140
(787) 881-7733
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 497
PR
Other
Enumeration date
11/20/2007
Last updated
04/30/2008
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