Individual
EDUARDO ANDRES LOPEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5215
Mailing address
PO BOX 361807, SAN JUAN, PR 00936-1807
(787) 692-2908
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
6144690
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
03/24/2020
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