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Individual

MR. CARLOS I LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PARAMEDIC/NURSE

Contact information

Practice address
HC 1 BOX 6271, MOCA, PR 00676-9619
(787) 244-9518
Mailing address
HC 1 BOX 6271, MOCA, PR 00676-9619
(787) 244-9518

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
2418-P
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2418-P
STATE LICENSE
PR
Enumeration date
01/28/2011
Last updated
01/28/2011
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