Individual
YAIR J LOPEZ TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 SINGLETON RIDGE RD # 29526, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
70 NASSAU ST, CLARK, NJ 07066-1866
(908) 764-7481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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