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Individual

MR. MANUEL E LOPEZ SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MUNOZ RIVERA AVENUE #500, CONDOMINIUM EL CENTRO 1 SUITE 1101, SAN JUAN, PR 00918
(787) 754-7357
Mailing address
MUNOZ RIVERA AVENUE #500, CONDOMINIUM EL CENTRO 1 SUITE 1101, SAN JUAN, PR 00918
(787) 754-7357

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2642
PR
2084P0804X
Child & Adolescent Psychiatry Physician
2642
PR

Other

Enumeration date
08/22/2007
Last updated
09/05/2007
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