Individual
MR. JONATHAN E ROLON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CENTRO COMERCIAL, EDIF 10A LOCAL 3 Y 4 AVE. FONT MARTELO, HUMACAO, PR 00791
(787) 704-0705
Mailing address
HC 3 BOX 7577, CANOVANAS, PR 00729-9762
(787) 553-5654
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
84504
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84504
ENFERMERO
PR
Enumeration date
11/20/2017
Last updated
11/20/2017
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