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Organization

SLD OBGYN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOFIA LOPEZ DIAZ MD (PRESIDENT)
(787) 630-6573
Entity
Organization

Contact information

Practice address
29 CALLE WASHINGTON, ASHFORD MEDICAL CENTER, SAN JUAN, PR 00907-1507
(787) 721-1541
Mailing address
L59 CALLE 7, URB PRADO ALTO, GUAYNABO, PR 00966-3027
(787) 630-6573

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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