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Individual

DR. MAMIE ANNEXY LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9979
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060032
CRUZ AZUL PROV. NUMBER
PR
01
1259A
PMC PROV. NUMBER
PR
01
214148
PREFERRED HEALTH PROV. #
PR
01
4270
IMC PROV. NUMBER
PR
01
600682
MMM PROV. NUMBER
PR
01
7010026
HUMANA PROV NUMBER
PR
01
82912AN
TRIPLE S PROV. #
PR
Enumeration date
02/05/2007
Last updated
01/25/2018
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