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Individual

DORALICE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
AA10 CAMINO PANORAMICO, ALTAVILLA URB.ENCANTADA, TRUJILLO ALTO, PR 00976-6088
(787) 755-4437
(787) 755-4437
Mailing address
AA10 CAMINO PANORAMICO, ALTAVILLA URB.ENCANTADA, TRUJILLO ALTO, PR 00976-6088
(787) 755-4437
(787) 755-4437

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
12525
PR
208D00000X
General Practice Physician
Primary
12525
PR

Other

Enumeration date
07/05/2008
Last updated
07/05/2008
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