Individual
JOSE LUIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 CALLE CANADA, ANTIGUO HOSP DE VETERANO PUERTO NUEVO, SAN JUAN, PR 00920-3860
(787) 791-1551
Mailing address
1019 CALLE NAVARRA, VISTA MAR, CAROLINA, PR 00983-1642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1857
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057612
—
PR
Enumeration date
03/14/2007
Last updated
07/08/2007
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