Individual
ELIEZER CORDERO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PA.
Contact information
Practice address
MED CARIBE IPA 514, AVE. ROOSEVELT 1028, SAN JUAN, PR 00920
(787) 706-8705
Mailing address
HC 5 BOX 45604, VEGA BAJA, PR 00693-9646
(787) 519-9998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000451-PA
PR
Other
Enumeration date
02/15/2023
Last updated
03/06/2023
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