Individual
PROF. JORGE LUIS LOPES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
100 CALLE ALONDRA UNIT 30275, 405 DIEZ DE ANDINO STREET STOP 25 SANTURCE PR 00912, SAN JUAN, PR 00929-3013
(939) 402-6482
Mailing address
100 CALLE ALONDRA UNIT 30275, SAN JUAN, PR 00929-3013
(939) 402-6482
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
36982
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36982G
NURSE LICENCE
PR
Enumeration date
05/04/2020
Last updated
05/04/2020
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