Individual
SAMUEL LOPEZ SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CONSOLIDATED MALL ANEXO B5, CAGUAS, PR 00726
(787) 704-0705
Mailing address
CONSOLIDATED MALL ANEXO B5, CAGUAS, PR 00726
(787) 704-0705
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
034316
PR
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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