Individual
PEDRO M LOPEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
EDIFICIO COMMERCE PLAZA, SUITE 205, GUAYAMA, PR 00784
(787) 866-0730
(787) 866-0747
Mailing address
72 URB PARQUE INTERAMERICANA, GUAYAMA, PR 00784
(787) 866-0730
(787) 866-0747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12976
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089989
PTAN
—
Enumeration date
10/05/2006
Last updated
08/09/2021
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