Individual
ILEANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
56 VILLAS DE LAS AMERICAS, A 14, SAN JUAN, PR 00927-4609
(787) 565-6266
Mailing address
56 VILLAS DE LAS AMERICAS, A 14, SAN JUAN, PR 00927-4609
(787) 565-6266
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10793
PR
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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