Individual
CAROLIN IRIZARRY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2979 AVE EMILIO FAGOT, PONCE, PR 00716-3617
(787) 841-7400
Mailing address
2979 AVE EMILIO FAGOT, PONCE, PR 00716-3617
(787) 841-7400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
71739
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71739
—
PR
Enumeration date
10/08/2021
Last updated
10/08/2021
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