Individual
MR. IVAN LOPERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROPIETARY
Contact information
Practice address
68 URB CRISTAL, BO CORRALES, AGUADILLA, PR 00603-6306
(787) 882-5915
Mailing address
68 URB CRISTAL, BO CORRALES, AGUADILLA, PR 00603-6306
(787) 882-5915
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1094
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053383216
SAL;UD DORADA MEDICARE
PR
01
—
20458
PMC MEDICARE CHOICE
PR
01
—
20526
AMERICAN HEALTH
PR
01
—
31489
MEDICARE SELECTO
PR
05
—
31489
—
PR
01
—
6030092
HUMANA INSURANCE
PR
01
—
660561350
MCS REFORMA
PR
Enumeration date
05/12/2008
Last updated
05/12/2008
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