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Individual

DR. LUIS ANTONIO LOPEZ PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CARR #2 KM 47.7, MANATI, PR 00674-4700
(787) 621-3322
Mailing address
592 CALLE CESAR GONZALEZ APT 711, SAN JUAN, PR 00918-3957
(787) 515-7316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21690
PR
208D00000X
General Practice Physician
21690
PR

Other

Enumeration date
12/31/2018
Last updated
08/09/2023
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