Individual
DR. SEBASTIAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
URB. EXTENSION OCEAN FRONT, CALLE HARVARD 3512, VEGA BAJA, PR 00693
(787) 299-2173
(787) 858-6034
Mailing address
PO BOX 1903, VEGA BAJA, PR 00694-1903
(787) 299-2173
(787) 858-6034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4010
PR
Other
Enumeration date
08/19/2011
Last updated
03/22/2017
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