Individual
EVELYN PADILLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3175 DEL VALLE AVE, LEVITTOWN, TOA BAJA, PR 00949
(787) 795-1025
(787) 784-2490
Mailing address
PO BOX 52324, TOA BAJA, PR 00950-2324
(787) 795-1025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11503
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111503
MCS HEALTH PLAN
PR
01
—
11503
UIA HEALTH PLAN
PR
01
—
201693
PREFERRED HEALTH NUMBER
PR
01
—
500029E
MEDICARE Y MUCHO MAS
PR
01
—
8298
FIRST MEDICAL HEALTH PLAN
PR
01
—
84636
TRIPLE S PROVIDER NUMBER
PR
Enumeration date
12/27/2005
Last updated
04/10/2020
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