Individual
JOSE A. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 CALLE OTERO, ISABELA, PR 00662-3010
(787) 872-1004
(787) 872-1004
Mailing address
PO BOX 1470, ISABELA, PR 00662-1470
(787) 872-1004
(787) 872-1004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6396
PR
Other
Enumeration date
12/21/2005
Last updated
01/10/2013
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