Individual
EDWIN MIGUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
URB. BAIROA 32A STREET, BLOQ. AJ1, CAGUAS, PR 00725-0000
(787) 636-2435
Mailing address
URB. BAIROA 32A STREET, BLOQ. AJ1, CAGUAS, PR 00725-0000
(787) 636-2435
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3253
PR
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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