Individual
LUIS MIGUEL RODRIGUEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BO MONACILLOS 150 AVE AMERICO MIRANDA, SAN JUAN, PR 00935-1811
(787) 763-4149
Mailing address
EXT VILLA MARINA, C54 CALLE 4, GURABO, PR 00778-2218
(787) 930-4415
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23200
PR
390200000X
Student in an Organized Health Care Education/Training Program
15937-I
PR
Other
Enumeration date
08/23/2021
Last updated
10/12/2023
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