Individual
MR. LUIS ALBERTO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDO
Contact information
Practice address
1575 AVE JESUS T PINERO, SAN JUAN, PR 00920-5403
(787) 519-5134
Mailing address
1575 AVE JESUS T PINERO, SAN JUAN, PR 00920-5403
(787) 519-5134
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1411
PR
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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