Individual
MANUEL ANTONIO LOZANO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
URB VILLA BLANCA, CALLE AMATISTA EDIFICIO 101, CAGUAS, PR 00725
(787) 745-9145
(787) 745-9145
Mailing address
PO BOX 430, CAGUAS, PR 00726-0430
(787) 745-9145
(787) 745-9145
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
83
PR
208D00000X
General Practice Physician
Primary
6002
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027262
TRIPLE S
PR
01
—
500029SE
MMM HEALTHCARE
PR
01
—
61101
HUMANA GOLD CHOICE
PR
Enumeration date
03/27/2007
Last updated
03/28/2010
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